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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
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $426.58 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $630.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $1,258.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $707.95