go back

New Hampshire rates for HCPCS L6500

Above Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,352.08 / $2,352.08 / $2,822.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.87 / $1,825.16 / $2,811.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,177.29 / $4,177.29 / $4,951.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.55 / $2,262.55 / $2,363.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,970.85 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,168.71 / $3,070.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,382.15 / $3,382.15 / $10,439.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.33 / $2,084.00 / $3,328.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.65 / $3,441.52 / $4,380.10