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New Jersey rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.80 / $2,245.80 / $2,245.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.80 / $2,729.12 / $4,589.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,545.25 / $4,728.96 / $6,111.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $5,351.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,583.07 / $5,622.34 / $8,005.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,968.00 / $6,111.24 / $6,111.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $8,148.31 / $9,777.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.58 / $3,266.69 / $6,111.24