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New Jersey rates for HCPCS L5312

Knee Disarticulation (Or Through Knee) Molded Socket Single Axis Knee Pylon Each Foot Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.08 / $1,514.08 / $1,514.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,514.08 / $1,767.98 / $2,997.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,001.57 / $3,001.57 / $4,027.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,191.15 / $2,191.15 / $3,526.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,679.47 / $3,705.36 / $5,276.10
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,833.49 / $4,027.56 / $4,027.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.77 / $2,009.30 / $3,697.50