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New Hampshire rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.24 / $479.24 / $575.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.64 / $371.88 / $479.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.13 / $851.13 / $1,008.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.98 / $389.98 / $407.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $440.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.13 / $689.13 / $2,127.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.08 / $424.62 / $715.42
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.47 / $701.22 / $892.46