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New Jersey rates for HCPCS L6704

Terminal device, sport/recreational/work attachment, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.80 / $258.80 / $258.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.80 / $313.89 / $513.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $704.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $616.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.38 / $647.90 / $922.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.73 / $704.24 / $704.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.94 / $381.21 / $646.53