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New Hampshire rates for HCPCS L3260

Surgical Boot/Shoe Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.60 / $9.60 / $11.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $9.60 / $36.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $10.00 / $16.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.12 / $21.12 / $21.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $15.42 / $22.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.18 / $41.18 / $127.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $8.40 / $9.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $8.35 / $16.72