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New Jersey rates for HCPCS 97763

Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes

Facilitymedian $170 · 10th–90th $55–$3310%10%10th90th$170Professionalmedian $52 · 10th–90th $41–$850%10%20%10th90th$52$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $169.82 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $63.10 / $114.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $100.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $46.77 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $52.48 / $79.43