go back

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
$1,422.25 / $1,422.25 / $1,706.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.19 / $1,157.56 / $1,422.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,525.88 / $2,525.88 / $2,994.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.38 / $1,369.38 / $1,454.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.68 / $1,424.68 / $1,424.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.02 / $1,040.02 / $1,424.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,045.09 / $2,045.09 / $6,312.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.09 / $1,260.13 / $1,752.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.80 / $2,080.98 / $2,648.52