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New Hampshire rates for HCPCS L6684

Upper Extremity Addition Test Socket Shoulder Disarticulation Or Interscapular Thoracic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.36 / $290.36 / $348.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.83 / $232.50 / $314.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.66 / $515.66 / $611.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.41 / $254.41 / $266.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$360.86 / $360.86 / $360.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.43 / $263.43 / $379.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.51 / $417.51 / $1,288.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.51 / $257.26 / $314.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.23 / $424.85 / $540.72