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New Hampshire rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $234.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $346.74 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $223.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $173.78 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $169.82 / $281.84
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $457.09