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New Hampshire rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $891.25 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $645.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $537.03 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $724.44
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,174.90