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New Jersey rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.08 / $145.08 / $145.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.08 / $157.78 / $216.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.26 / $250.26 / $250.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.63 / $209.59 / $394.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $345.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.66 / $363.21 / $517.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.54 / $394.79 / $394.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.98 / $250.77 / $394.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.26 / $206.07 / $362.43