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New Hampshire rates for HCPCS L6615

Upper Extremity Addition Disconnect Locking Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.41 / $117.41 / $140.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.10 / $110.04 / $140.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.50 / $208.50 / $247.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.06 / $137.44 / $137.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.58 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $128.16 / $175.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.82 / $168.82 / $521.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $104.02 / $175.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.16 / $171.78 / $218.62