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New Hampshire rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,113.91 / $3,113.91 / $3,736.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.21 / $2,436.67 / $3,113.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,530.30 / $5,530.30 / $6,555.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.21 / $2,670.21 / $2,789.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.90 / $3,523.90 / $3,523.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.44 / $2,572.44 / $3,629.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,477.63 / $4,477.63 / $13,820.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.34 / $2,759.00 / $3,284.65
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,142.01 / $4,556.21 / $5,798.81