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New Jersey rates for HCPCS L6884

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.29 / $1,026.29 / $1,026.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.29 / $1,210.66 / $2,036.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,283.76 / $2,283.76 / $2,792.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.14 / $1,667.14 / $2,445.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,551.38 / $2,569.31 / $3,658.48
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,727.28 / $2,792.73 / $2,792.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.26 / $1,492.82 / $2,792.73