go back

New Jersey rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.72 / $1,684.72 / $1,684.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.72 / $2,047.29 / $3,334.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,683.30 / $3,670.30 / $4,584.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $2,679.32 / $4,014.29
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,188.22 / $4,217.68 / $6,005.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,363.53 / $4,584.43 / $4,584.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.14 / $2,312.06 / $3,811.87