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New Jersey rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,245.87 / $2,245.87 / $2,245.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.87 / $2,708.91 / $4,346.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $6,111.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $2,766.97 / $5,351.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,583.26 / $5,622.53 / $8,006.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,968.21 / $6,111.45 / $6,111.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,755.67 / $3,214.95 / $6,111.45