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New Hampshire rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.05 / $311.05 / $373.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.90 / $241.37 / $311.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.41 / $552.41 / $654.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.84 / $248.84 / $264.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $274.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $292.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.26 / $447.26 / $1,380.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.73 / $275.58 / $447.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.74 / $455.11 / $579.24