go back

New Jersey rates for HCPCS L2350

Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.19 / $454.19 / $454.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.19 / $522.11 / $602.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.26 / $627.26 / $1,334.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.90 / $457.90 / $1,163.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.84 / $1,227.43 / $1,747.75
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.89 / $1,334.16 / $1,334.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.15 / $496.34 / $1,334.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.13 / $665.59 / $1,224.82