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New Hampshire rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.34 / $2,712.34 / $3,254.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.71 / $2,151.19 / $3,244.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.09 / $4,817.09 / $5,710.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.51 / $2,965.25 / $2,965.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $2,801.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $2,801.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,900.18 / $3,900.18 / $12,037.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.13 / $2,403.19 / $3,313.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,607.83 / $3,968.61 / $5,050.96