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New Hampshire rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.44 / $1,072.44 / $1,286.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.19 / $928.45 / $1,282.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,904.64 / $1,904.64 / $2,257.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.24 / $1,157.24 / $1,215.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $1,551.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,132.45 / $1,551.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.10 / $1,542.10 / $4,759.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.47 / $950.20 / $1,431.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.52 / $1,569.17 / $1,997.13