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New Hampshire rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.11 / $102.11 / $122.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.42 / $91.53 / $122.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.34 / $181.34 / $214.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.08 / $107.08 / $112.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $120.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.82 / $146.82 / $453.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.31 / $90.47 / $131.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.82 / $149.40 / $190.15