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New Hampshire rates for HCPCS L6925

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,992.63 / $5,992.63 / $7,191.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,529.42 / $4,650.14 / $5,992.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,642.84 / $10,642.84 / $12,616.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.53 / $5,623.53 / $5,901.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $7,261.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,617.03 / $8,617.03 / $26,596.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,539.73 / $5,309.60 / $8,945.81
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,971.14 / $8,768.25 / $10,000.00