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New Hampshire rates for HCPCS L6895

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.15 / $503.15 / $603.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $390.44 / $504.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.60 / $893.60 / $1,059.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.69 / $448.79 / $448.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.79 / $418.79 / $418.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.72 / $305.72 / $446.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.51 / $723.51 / $2,233.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.73 / $306.73 / $306.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.20 / $445.81 / $529.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.28 / $736.21 / $936.99