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New Hampshire rates for HCPCS L3450

Heel, SACH cushion type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.90 / $69.90 / $83.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.10 / $54.24 / $69.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.16 / $124.16 / $147.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $66.53 / $72.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.98 / $70.98 / $70.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $51.82 / $70.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.52 / $100.52 / $310.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $61.94 / $74.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.98 / $102.28 / $130.16