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New Hampshire rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,160.24 / $1,160.24 / $1,392.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.32 / $915.98 / $1,230.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.56 / $2,060.56 / $2,442.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,253.11 / $1,253.11 / $1,308.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $1,637.27 / $1,637.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,195.21 / $1,637.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.35 / $1,668.35 / $5,149.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.91 / $1,366.91 / $1,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.33 / $1,028.00 / $1,576.86
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.30 / $1,697.63 / $2,160.62