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New Jersey rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.18 / $250.18 / $250.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.18 / $299.74 / $433.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.33 / $419.41 / $680.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $895.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.95 / $626.34 / $891.85
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.84 / $680.80 / $680.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.68 / $363.90 / $680.80