go back

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
$37.85 / $37.85 / $45.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.86 / $29.36 / $41.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.22 / $67.22 / $79.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $33.40 / $35.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $25.21 / $36.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.43 / $54.43 / $168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $33.53 / $56.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $55.37 / $70.48