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New Hampshire rates for HCPCS L3360

Sole Wedge Outside Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $28.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $18.29 / $23.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.88 / $41.88 / $49.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.44 / $22.44 / $24.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.67 / $26.67 / $26.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $19.47 / $28.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $33.90 / $104.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.93 / $20.89 / $24.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.36 / $34.50 / $43.90