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New Jersey rates for HCPCS L6920

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal switch, cables, two batteries and one charger, switch control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,943.60 / $2,943.60 / $2,943.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,943.60 / $4,026.86 / $5,746.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,737.38 / $6,541.83 / $8,010.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,775.54 / $4,775.54 / $7,013.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,317.81 / $7,369.28 / $10,493.22
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,822.35 / $8,010.09 / $8,010.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,078.09 / $10,680.11 / $12,816.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,694.76 / $4,574.47 / $8,010.09