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New Jersey rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Facilitymedian $229 · 10th–90th $162–$4470%20%40%10th90th$229Professionalmedian $209 · 10th–90th $155–$4470%10%20%10th90th$209$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $204.17 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $234.42 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $234.42
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $416.87 / $602.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $263.03 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $251.19 / $436.52