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New Hampshire rates for HCPCS L6050

Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $2,754.23 / $3,162.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,412.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,513.56 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,348.96 / $2,187.76
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,630.78