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New Jersey rates for HCPCS L5616

Addition To Lower Extremity Endoskeletal System Above Knee Universal Multiplex System Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.04 / $599.04 / $599.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.04 / $727.97 / $1,217.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$943.49 / $1,018.60 / $1,630.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.58 / $743.58 / $2,056.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.24 / $1,499.71 / $2,135.46
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.57 / $1,630.12 / $1,630.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.02 / $850.88 / $1,630.12