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New Hampshire rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.48 / $344.48 / $413.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.31 / $273.20 / $412.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.79 / $611.79 / $725.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.52 / $340.52 / $357.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $432.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.34 / $495.34 / $1,528.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.48 / $305.20 / $487.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.21 / $504.03 / $641.49