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New Jersey rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.91 / $799.91 / $799.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.91 / $919.52 / $1,213.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $2,349.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $880.96 / $2,057.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,146.61 / $2,161.71 / $3,078.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.46 / $2,294.61 / $2,349.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.85 / $1,172.23 / $2,157.11