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New Hampshire rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.90 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $64.57 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $36.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $26.92 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $30.20 / $52.48
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $85.11