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New Jersey rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $11.21 / $11.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $12.43 / $16.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.54 / $16.62 / $30.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $12.13 / $26.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $28.10 / $40.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.82 / $30.54 / $30.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $16.30 / $30.54