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New Hampshire rates for HCPCS L7401

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.64 / $227.64 / $273.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.64 / $180.55 / $272.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.30 / $404.30 / $479.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.13 / $248.87 / $248.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $267.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.33 / $327.33 / $1,010.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.46 / $201.70 / $284.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.80 / $333.08 / $423.92