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New Hampshire rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,050.83 / $2,050.83 / $2,461.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.40 / $1,686.50 / $2,185.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,642.26 / $3,642.26 / $4,317.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,225.15 / $2,225.15 / $2,324.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,141.52 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $2,293.31 / $3,141.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,948.98 / $2,948.98 / $9,102.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.39 / $1,817.08 / $2,737.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,727.93 / $3,000.72 / $3,819.10