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New Hampshire rates for HCPCS L3420

Full Sole And Heel Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.21 / $36.21 / $43.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.48 / $28.11 / $39.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.33 / $64.33 / $76.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $34.47 / $37.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $36.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.09 / $52.09 / $160.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $32.09 / $38.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $53.00 / $67.45