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New Hampshire rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.20 / $454.20 / $545.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.54 / $352.45 / $454.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.66 / $806.66 / $956.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.77 / $459.77 / $480.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $644.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.11 / $653.11 / $2,015.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.29 / $402.43 / $564.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.16 / $664.58 / $845.82