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New Hampshire rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $30.20 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33