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New Hampshire rates for HCPCS L6100

Below elbow, molded socket, flexible elbow hinge, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.17 / $1,431.17 / $1,717.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.58 / $1,134.81 / $1,711.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,541.73 / $2,541.73 / $3,012.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.06 / $1,396.06 / $1,474.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.43 / $1,964.43 / $1,964.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.03 / $1,434.03 / $1,964.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.92 / $2,057.92 / $6,351.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.36 / $1,268.05 / $1,775.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.68 / $2,094.05 / $2,665.15