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New Jersey rates for HCPCS L5560

Preparatory Above Knee- Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.71 / $1,001.71 / $1,001.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.71 / $1,066.71 / $1,662.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,556.80 / $1,823.10 / $2,725.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.86 / $1,330.86 / $2,386.82
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.23 / $2,507.75 / $3,570.82
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.93 / $2,725.82 / $2,725.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.79 / $1,537.88 / $2,725.82