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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
$194.98 / $194.98 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $177.83 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $380.19 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $218.78 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $186.21 / $309.03
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $501.19