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New Jersey rates for HCPCS L2628

Addition To Lower Extremity Pelvic Control Metal Frame Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.92 / $825.92 / $825.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.09 / $949.42 / $1,133.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $2,426.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $2,124.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.42 / $2,232.00 / $3,178.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,369.23 / $2,426.09 / $2,426.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $1,210.34 / $2,426.09