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New Jersey rates for HCPCS L5614

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.66 / $730.66 / $730.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.66 / $887.92 / $1,292.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,317.79 / $1,317.79 / $1,988.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.99 / $961.99 / $1,741.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.45 / $1,829.23 / $2,604.66
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,941.69 / $1,988.29 / $1,988.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.52 / $991.94 / $1,825.35