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New Hampshire rates for HCPCS L6675

Upper extremity addition, harness, (e.g., figure of eight type), single cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.22 / $108.22 / $129.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.37 / $83.97 / $108.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.19 / $192.19 / $227.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.33 / $87.33 / $91.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $96.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.61 / $155.61 / $480.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.92 / $95.88 / $153.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.94 / $158.33 / $201.52