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New Hampshire rates for HCPCS L3620

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup Existing (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.54 / $50.54 / $60.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.94 / $39.22 / $54.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $106.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.09 / $48.09 / $52.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $51.32 / $51.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $37.46 / $51.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.67 / $72.67 / $224.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.83 / $44.78 / $75.44
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.22 / $73.94 / $94.11