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New Hampshire rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.46 / $23.46 / $28.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.58 / $23.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $67.64 / $67.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $58.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $88.24 / $272.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $20.30 / $41.59