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New Hampshire rates for HCPCS L6890

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.11 / $127.11 / $152.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.17 / $118.45 / $152.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.75 / $225.75 / $267.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.82 / $123.82 / $130.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $124.21 / $170.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.78 / $182.78 / $564.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.08 / $112.62 / $153.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.49 / $162.24 / $206.49