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New Hampshire rates for HCPCS L6935

Below Elbow 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
$5,850.80 / $5,850.80 / $7,020.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,353.05 / $4,625.13 / $6,998.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,390.99 / $10,390.99 / $12,317.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,011.71 / $6,543.68 / $6,543.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.37 / $7,503.37 / $7,503.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $5,477.46 / $7,637.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,413.11 / $8,413.11 / $25,967.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,455.96 / $5,183.95 / $7,242.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,782.50 / $8,560.75 / $10,000.00