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New Jersey rates for HCPCS L6881

Automatic grasp feature, addition to upper limb electric prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.21 / $1,770.21 / $1,770.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.21 / $2,151.19 / $3,131.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $4,817.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $5,721.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,400.76 / $4,431.72 / $6,310.39
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,584.97 / $4,817.09 / $4,817.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,172.04 / $2,534.05 / $4,817.09