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New Jersey rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.99 / $170.99 / $170.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.99 / $200.30 / $259.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.86 / $280.67 / $465.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $204.89 / $407.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.07 / $428.07 / $609.53
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.38 / $465.29 / $465.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.80 / $248.71 / $427.16