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New Jersey rates for HCPCS L6624

Upper Extremi Addi, Flexion/Extens And Rotation Wrist Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.72 / $1,630.72 / $1,630.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.72 / $1,981.68 / $2,885.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,941.06 / $2,941.06 / $4,437.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.96 / $2,146.96 / $5,270.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,054.00 / $4,082.52 / $5,813.15
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,885.65 / $4,333.52 / $4,437.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.89 / $2,395.69 / $4,437.52