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New Hampshire rates for HCPCS L6620

Upper extremity addition, flexion/extension wrist unit, with or without friction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.71 / $217.71 / $261.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.94 / $172.70 / $260.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.66 / $386.66 / $458.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.58 / $218.58 / $232.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.48 / $292.48 / $292.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $213.51 / $292.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.07 / $313.07 / $966.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.60 / $192.90 / $273.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.60 / $318.56 / $405.44