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New Hampshire rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $331.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $501.19 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $269.15 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $407.38
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $660.69