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New Jersey rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$798.32 / $798.32 / $798.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.32 / $1,015.31 / $1,728.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,629.29 / $1,629.29 / $1,629.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.41 / $1,599.98 / $2,172.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,167.99 / $1,902.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.64 / $1,998.60 / $2,845.83
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.71 / $2,172.39 / $2,172.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.54 / $1,127.43 / $1,994.36