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New Hampshire rates for HCPCS L6300

Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,355.07 / $3,355.07 / $4,026.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.93 / $2,603.46 / $3,355.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,958.57 / $5,958.57 / $7,063.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.85 / $2,731.85 / $2,853.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,813.78 / $3,813.78 / $3,813.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.06 / $2,784.06 / $3,928.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,824.39 / $4,824.39 / $14,890.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.78 / $2,972.66 / $3,437.68
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,462.77 / $4,909.05 / $6,247.88