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New Jersey rates for HCPCS L6930

Below Elbow 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
$2,961.85 / $2,961.85 / $2,961.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,961.85 / $3,908.58 / $5,701.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,759.38 / $6,300.68 / $8,059.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $4,599.50 / $7,057.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,363.19 / $7,414.98 / $10,558.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,057.41 / $7,870.86 / $8,059.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,634.18 / $4,308.25 / $7,399.25