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New Hampshire rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.82 / $389.82 / $467.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.49 / $309.17 / $466.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.31 / $692.31 / $820.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.80 / $420.80 / $441.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $315.80 / $461.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.54 / $560.54 / $1,730.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.89 / $456.41 / $518.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $345.39 / $520.28
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.52 / $570.37 / $725.93