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New Hampshire rates for HCPCS L6693

Upper extremity addition, locking elbow, forearm counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.54 / $1,883.54 / $2,260.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,461.58 / $1,493.85 / $2,252.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,345.13 / $3,345.13 / $3,965.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.86 / $1,838.86 / $1,953.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,217.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $1,618.46 / $2,363.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,708.41 / $2,708.41 / $8,359.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.50 / $2,094.11 / $2,291.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.57 / $1,668.85 / $2,298.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.39 / $2,755.93 / $3,507.55