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New Hampshire rates for HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.51 / $1,805.51 / $2,166.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.09 / $1,544.43 / $1,805.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.57 / $3,206.57 / $3,801.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.37 / $1,744.37 / $1,822.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.15 / $1,784.15 / $1,784.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.43 / $1,302.43 / $1,837.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,596.21 / $2,596.21 / $8,013.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.48 / $1,599.73 / $2,554.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,401.62 / $2,641.78 / $3,362.27