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New Hampshire rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $33.71 / $40.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.63 / $26.15 / $36.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.84 / $59.84 / $70.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $34.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.45 / $48.45 / $149.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $29.86 / $35.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.83 / $49.31 / $62.76