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New Hampshire rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $213.80 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $416.87 / $478.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $302.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $257.04 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $338.84
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $549.54