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New Jersey rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.48 / $566.48 / $566.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.48 / $688.39 / $1,287.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.16 / $963.22 / $1,541.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $703.15 / $1,349.79
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.28 / $1,418.18 / $2,019.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.79 / $1,467.22 / $1,541.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.07 / $919.68 / $1,421.44