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New Jersey rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.24 / $933.24 / $933.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.89 / $993.81 / $1,583.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.30 / $1,551.30 / $2,539.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,132.45 / $2,223.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,320.04 / $2,336.36 / $3,326.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.00 / $2,539.52 / $2,539.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.20 / $1,266.94 / $2,539.52