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New Jersey rates for HCPCS L5020

Partial Foot Molded Socket Tibial Tubercle Height With Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.10 / $874.10 / $874.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.10 / $1,062.21 / $1,516.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,355.48 / $1,486.28 / $2,378.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $2,082.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,173.01 / $2,188.29 / $3,115.94
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.83 / $2,378.58 / $2,378.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.51 / $1,419.09 / $2,378.58