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New Hampshire rates for HCPCS L6623

Upper Extremity Addition Spring Assisted Rotational Wrist Unit With Latch Release

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.70 / $476.70 / $572.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.46 / $395.30 / $570.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.62 / $846.62 / $1,003.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.36 / $470.36 / $491.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.34 / $496.34 / $496.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $496.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.47 / $685.47 / $2,115.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.58 / $422.37 / $674.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.09 / $697.50 / $887.73