go back

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
$288.40 / $288.40 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $467.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $562.34 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $288.40 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $446.68
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $741.31