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New Jersey rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.20 / $1,191.20 / $1,191.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.20 / $1,268.52 / $1,925.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,749.85 / $2,125.02 / $3,241.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $1,551.26 / $2,838.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,961.35 / $2,982.18 / $4,246.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,165.53 / $3,241.50 / $3,241.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.44 / $1,705.20 / $2,975.86