go back

New Hampshire rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $114.82 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $218.78 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $169.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $134.90 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $177.83
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $288.40