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New Jersey rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.83 / $224.83 / $224.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.83 / $273.20 / $397.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $611.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $296.02 / $535.71
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.91 / $562.86 / $801.46
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.46 / $611.79 / $611.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.86 / $305.20 / $508.69