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New Jersey rates for HCPCS L8043

Upper facial prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,825.66 / $1,825.66 / $1,825.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.66 / $2,034.31 / $2,667.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,600.52 / $3,600.52 / $4,967.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,060.44 / $3,060.44 / $4,350.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,538.59 / $4,570.51 / $6,508.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.33 / $2,298.33 / $3,304.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.03 / $2,478.46 / $4,560.82