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New Hampshire rates for HCPCS L7405

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.28 / $482.28 / $578.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.24 / $382.50 / $576.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.52 / $856.52 / $1,015.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.72 / $476.72 / $500.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $624.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $624.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.49 / $693.49 / $2,140.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.88 / $427.31 / $602.66
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.51 / $705.66 / $898.11