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New Hampshire rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Facilitymedian $17 · 10th–90th $17–$200%20%40%90th$17Professionalmedian $52 · 10th–90th $14–$550%50%10th90th$52$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.44 / $52.48