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New Jersey rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.93 / $1,080.93 / $1,080.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.93 / $1,304.09 / $2,283.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.52 / $1,902.78 / $2,941.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,389.03 / $2,575.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,687.22 / $2,706.12 / $3,853.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,799.70 / $2,941.43 / $2,941.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.30 / $1,467.45 / $2,700.38