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New Jersey rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.27 / $185.27 / $185.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.27 / $219.40 / $278.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.64 / $311.77 / $504.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $227.60 / $441.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.58 / $463.83 / $660.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.11 / $504.16 / $504.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.23 / $265.20 / $504.16