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New Hampshire rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $363.08 / $416.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $245.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $223.87 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $295.12
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $478.63