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New Hampshire rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.50 / $128.50 / $154.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $108.51 / $128.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.20 / $228.20 / $270.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.63 / $117.63 / $122.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $126.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.76 / $184.76 / $570.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $113.84 / $147.00
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.91 / $188.00 / $239.27