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New Jersey rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.96 / $199.96 / $199.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.96 / $240.55 / $441.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.50 / $393.88 / $544.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.52 / $287.52 / $768.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.11 / $500.60 / $712.81
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.38 / $544.13 / $544.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.35 / $274.42 / $449.58