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New Jersey rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.67 / $1,449.67 / $1,449.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.67 / $1,761.66 / $2,515.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $3,944.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $1,811.20 / $3,454.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,603.90 / $3,629.25 / $5,167.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,754.76 / $3,944.84 / $3,944.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.65 / $2,964.57 / $3,944.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.74 / $2,047.30 / $3,944.84