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New Jersey rates for HCPCS L7402

Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $218.78 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $316.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $467.74 / $645.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $436.52 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $363.08