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New Hampshire rates for HCPCS L6676

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Dual Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.73 / $85.73 / $102.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $76.20 / $102.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.26 / $152.26 / $180.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.15 / $88.15 / $92.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $97.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $103.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.28 / $123.28 / $380.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $75.95 / $111.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.04 / $125.44 / $159.66