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New Jersey rates for HCPCS L2395

Addition To Lower Extremity Offset Knee Joint Heavy Duty Each Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $80.26 / $109.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.20 / $110.15 / $176.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $80.41 / $154.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.03 / $162.16 / $230.91
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.14 / $176.27 / $176.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.40 / $87.94 / $161.83