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New Hampshire rates for HCPCS L7190

Electronic Elbow Adolescent Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,585.33 / $5,585.33 / $6,702.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,189.35 / $4,334.09 / $5,585.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,919.50 / $9,919.50 / $11,758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,539.38 / $5,539.38 / $5,786.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $6,553.03 / $6,553.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $4,783.71 / $6,749.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,031.38 / $8,031.38 / $24,788.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,299.15 / $4,948.72 / $6,814.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,429.37 / $8,172.31 / $10,000.00