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Other Orthopedic Shoe Modification, Addition or Transfer

New Hampshire rates for HCPCS L3649

Orthopedic shoe, modification, addition or transfer, not otherwise specified

Rates data updated October 2026.

How much rates vary

Professionalmedian $4 · 10th to 90th $4 to $15
$5$20$100$500$2Kprofessional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.37
Median
$4.37
Typical High
$15.14
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.19
Median
$2.19
Typical High
$7.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.87
Median
$0.87
Typical High
$3.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.66
Median
$0.66
Typical High
$2.29
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.44
Median
$0.44
Typical High
$1.51
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89