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New Hampshire rates for HCPCS L6655

Upper extremity addition, standard control cable, extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.55 / $55.55 / $66.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.26 / $43.11 / $55.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.66 / $98.66 / $116.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.49 / $54.49 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.82 / $59.82 / $59.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $63.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.89 / $79.89 / $246.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.82 / $49.22 / $67.76
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.90 / $81.29 / $103.46