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New Hampshire rates for HCPCS L6055

Wrist Disarticulation Molded Socket With Expandable Interface Flexible Elbow Hinges Triceps Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.28 / $2,245.28 / $2,694.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.45 / $1,742.28 / $2,245.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,987.57 / $3,987.57 / $4,726.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.42 / $1,932.42 / $2,027.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $2,550.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,228.57 / $3,228.57 / $9,964.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.24 / $1,989.36 / $2,385.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,986.57 / $3,285.23 / $4,181.20