go back

New Jersey rates for HCPCS L8415

Prosthetic Sheath Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.60 / $10.60 / $10.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $12.25 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.82 / $16.30 / $28.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $11.91 / $25.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.36 / $26.54 / $37.79
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.17 / $28.85 / $28.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $14.84 / $26.48