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New Jersey rates for HCPCS L6621

Upper Extremity Prosthesis Addition Flexion/Extension Wrist With Or Without Friction For Use With External Powered Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.41 / $990.41 / $990.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.41 / $1,203.55 / $1,752.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.24 / $1,786.24 / $2,695.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.96 / $1,303.96 / $2,359.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.15 / $2,479.46 / $3,530.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.21 / $2,695.08 / $2,695.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.22 / $1,607.92 / $2,474.21