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New Jersey rates for HCPCS L6629

Upper Extremity Addition Quick Disconnect Lamination Collar With Coupling Piece Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.30 / $77.30 / $77.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.30 / $82.31 / $115.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.90 / $113.00 / $210.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $184.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.15 / $193.49 / $275.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.39 / $210.32 / $210.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.61 / $108.19 / $210.32