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Pelvic Control, Metal Frame, Reciprocating Hip Joint

New Jersey rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $832$2,4550%50%90th$832Professionalmedian $1,072 · 10th–90th $813$2,3990%10%10th90th$1,072$1.0K$2.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,174.90
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,174.90
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,344.23
Typical High
$3,235.94
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,096.48
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$2,344.23