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New Jersey rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,342.78 / $1,342.78 / $1,342.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.78 / $1,631.78 / $2,375.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $3,653.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $1,653.30 / $3,199.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,338.17 / $3,361.67 / $4,786.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,568.35 / $3,653.99 / $3,653.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.59 / $1,922.19 / $3,354.54