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New Hampshire rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,057.42 / $2,057.42 / $2,468.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.52 / $1,631.78 / $2,460.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,653.99 / $3,653.99 / $4,331.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,134.17 / $2,249.31 / $2,249.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,264.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $2,414.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,958.47 / $2,958.47 / $9,131.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.29 / $1,822.93 / $2,513.32
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,736.71 / $3,010.38 / $3,831.39