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New Hampshire rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.21 / $47.21 / $56.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $38.53 / $47.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.80 / $83.80 / $99.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.77 / $53.69 / $53.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $48.73 / $48.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $35.57 / $51.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.87 / $67.87 / $209.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $41.81 / $58.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $69.06 / $87.89