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New Hampshire rates for HCPCS L3580

Orthopedic shoe addition, convert instep to Velcro closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.95 / $42.95 / $51.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.39 / $33.32 / $42.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.28 / $76.28 / $90.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.60 / $42.60 / $44.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $31.84 / $43.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.76 / $61.76 / $190.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.37 / $38.04 / $58.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.12 / $62.83 / $79.97