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New Jersey rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.35 / $94.35 / $94.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.35 / $100.74 / $149.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $256.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $274.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.54 / $236.19 / $336.32
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.36 / $256.73 / $256.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $128.08 / $256.73