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New Hampshire rates for HCPCS L6930

Below Elbow External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,025.53 / $5,025.53 / $6,030.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,747.99 / $3,908.58 / $5,025.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,925.29 / $8,925.29 / $10,580.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,923.92 / $4,923.92 / $5,143.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,300.68 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $6,489.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,226.40 / $7,226.40 / $22,304.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,968.48 / $4,452.72 / $7,502.11
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,684.73 / $7,353.20 / $9,358.62