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New Hampshire rates for HCPCS L6350

Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,647.12 / $2,647.12 / $3,176.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.11 / $2,647.12 / $2,799.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,701.26 / $4,701.26 / $5,572.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,872.13 / $2,872.13 / $3,000.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,798.08 / $3,798.08 / $3,798.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,772.60 / $2,772.60 / $3,798.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,806.40 / $3,806.40 / $11,748.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.60 / $2,345.41 / $3,529.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,521.09 / $3,873.20 / $4,929.53