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New Hampshire rates for HCPCS L6635

Upper Extremity Addition Lift Assist For Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.78 / $121.78 / $146.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $107.00 / $126.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.29 / $216.29 / $256.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.97 / $126.97 / $134.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $166.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $121.52 / $166.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.12 / $175.12 / $540.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.94 / $107.90 / $161.38
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.99 / $178.19 / $226.79