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New Hampshire rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.43 / $56.43 / $67.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.26 / $43.80 / $56.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.25 / $100.25 / $118.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.89 / $55.89 / $58.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $69.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.16 / $81.16 / $250.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.34 / $50.01 / $70.03
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.08 / $82.59 / $105.11