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New Hampshire rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Facilitymedian $214 · 10th–90th $117–$2510%10%20%10th90th$214Professionalmedian $141 · 10th–90th $100–$2140%20%10th90th$141$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $117.49 / $213.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $229.09 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $173.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $138.04 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $158.49 / $181.97
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $295.12