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New Jersey rates for HCPCS L6026

Transcarpal/Metacarpal Or Partial Hand Disarticu- Lation Prosthesis External Power Self-Suspended Inner Socket With Removable Forearm Section Electrodes And Cables Two Batteries Charger Myoelectric Control Of Terminal Device Excludes Terminal Device(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,835.28 / $1,835.28 / $1,835.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,835.28 / $2,266.67 / $3,603.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $3,323.97 / $4,724.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.50 / $2,426.50 / $4,136.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,316.09 / $4,346.47 / $6,188.99
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,928.26 / $3,928.26 / $3,928.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,244.96 / $2,627.18 / $4,337.24