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New Jersey rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $208.93 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $776.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $446.68 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $269.15 / $407.38