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New Hampshire rates for HCPCS L6110

Below elbow, molded socket (Muenster or Northwestern suspension types)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.74 / $1,428.74 / $1,714.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.16 / $1,421.67 / $1,708.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,537.42 / $2,537.42 / $3,007.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.70 / $1,484.70 / $1,563.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.17 / $1,787.17 / $1,787.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.63 / $1,304.63 / $1,787.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.44 / $2,054.44 / $6,341.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.21 / $1,448.21 / $1,448.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.93 / $1,265.89 / $1,839.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,900.45 / $2,090.50 / $2,660.63