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New Hampshire rates for HCPCS L3420

Full sole and heel wedge, between sole

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.11 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $70.79 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $37.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $28.84 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $32.36 / $56.23
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $91.20