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New Hampshire rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.51 / $48.51 / $58.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.64 / $46.36 / $58.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.16 / $86.16 / $102.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $50.93 / $50.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $53.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.77 / $69.77 / $215.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $42.99 / $59.85
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $61.92 / $78.81