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New Jersey rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.12 / $276.12 / $276.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.12 / $335.54 / $633.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.58 / $644.36 / $751.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $663.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.44 / $691.27 / $984.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.17 / $751.38 / $751.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.80 / $429.10 / $751.38