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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
$6,923.95 / $6,923.95 / $8,308.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,292.50 / $5,372.83 / $6,923.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,296.88 / $12,296.88 / $14,576.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,777.58 / $6,777.58 / $7,079.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $6,374.98 / $8,994.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,956.24 / $9,956.24 / $30,729.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,089.85 / $6,134.78 / $8,469.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,209.95 / $9,209.95 / $10,000.00