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New Jersey rates for HCPCS L6205

Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.82 / $1,805.82 / $1,805.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.82 / $2,388.89 / $2,863.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,076.83 / $3,523.90 / $4,914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.44 / $2,572.44 / $4,302.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,489.29 / $4,520.88 / $6,437.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,798.83 / $4,914.00 / $4,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,215.73 / $2,626.71 / $4,914.00