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New Jersey rates for HCPCS L6500

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.20 / $1,410.20 / $1,410.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.20 / $1,653.87 / $2,877.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.40 / $2,970.85 / $3,837.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,168.71 / $3,360.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,505.78 / $3,530.44 / $5,027.03
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,747.49 / $3,837.43 / $3,837.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.31 / $1,935.32 / $3,170.64