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New Hampshire rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $6,918.31 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $6,606.93 / $10,232.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,760.83 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $9,120.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $8,709.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,244.36 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $6,606.93 / $10,715.19
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $17,782.79