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New Hampshire rates for HCPCS L6570

Interscapular Thoracic Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,756.83 / $3,756.83 / $4,508.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,479.94 / $2,915.21 / $3,955.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,672.09 / $6,672.09 / $7,909.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,194.59 / $3,194.59 / $3,352.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.38 / $3,943.38 / $3,943.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,878.67 / $2,878.67 / $4,061.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,402.08 / $5,402.08 / $16,673.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,219.08 / $3,328.63 / $3,952.33
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,997.16 / $5,496.88 / $6,996.02