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New Jersey rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $302.00 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $208.93 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $302.00 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $295.12 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $295.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $416.87 / $575.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $354.81 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $338.84