go back

New Hampshire rates for HCPCS L3630

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

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
$64.14 / $64.14 / $69.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $67.58
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 / $90.78
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.48 / $97.33 / $123.87