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New Hampshire rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $87.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $109.65 / $125.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $151.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $45.71 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $87.10
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $144.54