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New Hampshire rates for HCPCS L6884

Replacement Socket Above Elbow/Elbow Disarticulation Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,521.80 / $1,521.80 / $1,826.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.88 / $1,215.34 / $1,607.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,702.68 / $2,702.68 / $3,203.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.41 / $1,619.41 / $1,709.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,283.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,283.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.25 / $2,188.25 / $6,754.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.90 / $1,348.34 / $2,271.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,024.23 / $2,226.65 / $2,833.92