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New Hampshire rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.61 / $2,498.61 / $2,998.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.87 / $1,981.68 / $2,988.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,437.52 / $4,437.52 / $5,260.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,591.81 / $2,731.58 / $2,731.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $2,941.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $2,941.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,592.86 / $3,592.86 / $11,089.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.89 / $2,213.83 / $3,176.01
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.56 / $3,655.92 / $4,652.97