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New Hampshire rates for HCPCS L3520

Orthopedic shoe addition, insole, felt covered with leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.05 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $40.74 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $57.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $16.98 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.62 / $32.36
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $53.70