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New Hampshire rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,962.21 / $1,962.21 / $2,354.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.54 / $1,671.44 / $1,962.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,484.88 / $3,484.88 / $4,130.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.20 / $1,898.20 / $1,982.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,479.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $1,810.27 / $2,554.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.55 / $2,821.55 / $8,708.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.28 / $2,064.33 / $2,821.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.05 / $2,871.06 / $3,654.07