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New Jersey rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,273.83 / $1,273.83 / $1,273.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.83 / $1,586.72 / $2,133.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,043.96 / $2,476.09 / $3,466.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $3,035.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,166.77 / $3,189.04 / $4,540.92
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,385.11 / $3,466.35 / $3,466.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,585.34 / $1,798.97 / $3,182.28