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New Hampshire rates for HCPCS L6677

Upper Extremity Addition Harness Triple Control Simultaneous Operation Of Terminal Device And Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.81 / $196.81 / $236.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.72 / $156.09 / $196.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.53 / $349.53 / $414.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.45 / $195.45 / $204.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.66 / $231.66 / $231.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.11 / $169.11 / $231.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.00 / $283.00 / $873.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.25 / $174.38 / $240.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.79 / $287.97 / $366.51