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New Jersey rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $14 · 10th–90th $10–$300%20%40%10th90th$14Professionalmedian $14 · 10th–90th $11–$290%10%10th90th$14$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.22 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $16.22
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $39.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $19.50 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $28.84