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New Hampshire rates for HCPCS L6712

Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.25 / $821.25 / $985.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.27 / $651.34 / $821.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.52 / $1,458.52 / $1,728.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.81 / $811.81 / $851.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.10 / $967.10 / $967.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.98 / $705.98 / $967.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.90 / $1,180.90 / $3,644.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.10 / $727.64 / $1,003.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.94 / $1,048.23 / $1,334.12