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New Hampshire rates for HCPCS L6200

Elbow Disarticulation Molded Socket Outside Locking Hinge Forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,246.32 / $2,246.32 / $2,695.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.24 / $1,743.10 / $2,246.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,989.45 / $3,989.45 / $4,729.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.39 / $2,000.39 / $2,089.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,694.60 / $2,694.60 / $2,694.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.06 / $1,967.06 / $2,694.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,230.08 / $3,230.08 / $9,969.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.86 / $1,990.30 / $2,458.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,987.97 / $3,286.77 / $4,183.16