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New Jersey rates for HCPCS L5637

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.57 / $162.57 / $162.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.57 / $182.43 / $225.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.06 / $260.06 / $260.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.69 / $232.98 / $442.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $387.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.14 / $407.00 / $579.53
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $442.39 / $442.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.63 / $220.70 / $346.24