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New Hampshire rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.78 / $395.78 / $474.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.12 / $313.89 / $421.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.90 / $702.90 / $833.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.28 / $426.28 / $448.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $527.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $527.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.11 / $569.11 / $1,756.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $350.67 / $527.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.46 / $579.11 / $737.04