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New Jersey rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.85 / $149.85 / $149.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.90 / $151.71 / $197.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.85 / $197.02 / $407.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $357.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.52 / $375.14 / $534.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.11 / $407.76 / $407.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.76 / $203.43 / $407.76