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New Hampshire rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $72.44 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $34.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $36.31 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $36.31 / $58.88
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $95.50