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New Jersey rates for HCPCS L6693

Upper Extremity Addition Locking Elbow Forearm Counterbalance

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.29 / $1,229.29 / $1,229.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.29 / $1,493.85 / $2,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $3,345.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $1,618.46 / $2,929.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,056.02 / $3,077.52 / $4,382.12
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,266.73 / $3,345.13 / $3,345.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.42 / $2,300.87 / $3,345.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.33 / $1,736.07 / $3,345.13