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New Jersey rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,586.36 / $1,586.36 / $1,586.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.36 / $1,927.76 / $2,806.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $4,316.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $5,127.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,943.70 / $3,971.43 / $5,654.97
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.07 / $1,997.07 / $2,871.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.45 / $2,307.46 / $4,316.77