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New Hampshire rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,568.16 / $1,568.16 / $1,881.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.85 / $1,410.63 / $1,671.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,785.04 / $2,785.04 / $3,301.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.61 / $1,693.61 / $1,777.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $1,551.26 / $2,125.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,254.92 / $2,254.92 / $6,959.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.28 / $1,389.43 / $2,219.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.90 / $2,294.48 / $2,920.26