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New Jersey rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.82 / $1,082.82 / $1,082.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.82 / $1,315.86 / $1,915.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $2,946.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,425.62 / $2,580.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.90 / $2,710.84 / $3,859.99
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,580.11 / $2,877.50 / $2,946.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.62 / $1,549.92 / $2,946.56