go back

New Hampshire rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $346.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $478.63 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $281.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $269.15 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $234.42 / $389.05
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $630.96