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New Hampshire rates for HCPCS L6360

Interscapular thoracic, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,570.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $4,265.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $4,168.69 / $4,786.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,311.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $2,630.27 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $3,311.31
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $5,495.41