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New Hampshire rates for HCPCS L6370

Interscapular thoracic, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,415.92 / $1,415.92 / $1,699.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.72 / $1,414.50 / $1,462.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,514.67 / $2,514.67 / $2,980.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.31 / $1,489.31 / $1,555.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,523.27 / $1,523.27 / $1,523.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.99 / $1,111.99 / $1,568.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,036.02 / $2,036.02 / $6,284.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,624.58 / $1,624.58 / $1,624.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.36 / $1,254.54 / $1,874.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,883.40 / $2,071.73 / $2,636.76