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New Hampshire rates for HCPCS L3400

Metatarsal Bar Wedge Rocker (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.96 / $26.96 / $32.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.70 / $20.91 / $29.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.87 / $47.87 / $56.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.95 / $25.95 / $27.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.72 / $33.72 / $33.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.62 / $24.62 / $33.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $38.77 / $119.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $23.89 / $28.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.85 / $39.44 / $50.19