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New Jersey rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.59 / $234.59 / $234.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.59 / $287.64 / $407.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.33 / $412.94 / $638.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $558.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.17 / $587.28 / $836.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.96 / $638.35 / $638.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.44 / $333.21 / $638.35