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New Jersey rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,268.48 / $2,268.48 / $2,268.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.48 / $2,756.68 / $4,675.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.49 / $4,865.01 / $6,172.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,551.46 / $5,405.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,639.45 / $5,679.12 / $8,086.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,028.28 / $6,172.96 / $6,172.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,783.41 / $3,247.31 / $6,172.96