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New Jersey rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Facilitymedian $372 · 10th–90th $257–$7080%20%40%10th90th$372Professionalmedian $347 · 10th–90th $257–$7080%20%10th90th$347$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
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $302.00 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $501.19 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $501.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $660.69 / $977.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $436.52 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $691.83