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New Jersey rates for HCPCS L5105

Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,867.40 / $1,867.40 / $1,867.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.52 / $2,033.90 / $2,848.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.07 / $3,006.81 / $5,081.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $4,449.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,642.37 / $4,675.02 / $6,656.82
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,962.43 / $5,081.54 / $5,081.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.16 / $2,562.76 / $5,081.54