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New Jersey rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.61 / $117.61 / $117.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.61 / $164.06 / $215.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.51 / $215.87 / $345.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $302.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.62 / $317.83 / $452.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.38 / $345.48 / $345.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.62 / $174.31 / $345.48