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New Hampshire rates for HCPCS L3610

Transfer of an orthosis from one shoe to another, caliper plate, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.52 / $66.52 / $79.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.63 / $51.62 / $71.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.15 / $118.15 / $140.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $64.81 / $69.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.30 / $81.30 / $81.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.35 / $59.35 / $81.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.66 / $95.66 / $295.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $58.94 / $84.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.48 / $97.33 / $123.87