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New Hampshire rates for HCPCS L3265

Plastazote sandal, each

Facilitymedian $10 · 10th–90th $10–$130%20%40%90th$10Professionalmedian $27 · 10th–90th $9–$520%20%10th90th$27$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
$10.47 / $10.47 / $12.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $12.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $28.84
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
$5.50 / $8.71 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $12.88 / $52.48