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New Jersey rates for HCPCS L6895

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.29 / $246.29 / $246.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.29 / $325.31 / $489.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.54 / $418.79 / $670.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.72 / $305.72 / $586.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.28 / $616.58 / $877.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.91 / $670.20 / $670.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.73 / $306.73 / $306.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.20 / $370.69 / $670.20