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New Jersey rates for HCPCS L7405

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.76 / $314.76 / $314.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.76 / $382.50 / $556.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.54 / $624.54 / $856.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $750.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.51 / $788.00 / $1,122.04
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.45 / $856.52 / $856.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.21 / $489.15 / $786.34