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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
$69.18 / $69.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $134.90 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $56.23 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $61.66 / $109.65
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $177.83