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New Jersey rates for HCPCS L5639

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $630.00 / $630.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.16 / $670.88 / $858.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,714.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $1,501.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.17 / $1,577.18 / $2,245.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.73 / $1,714.33 / $1,714.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.74 / $855.26 / $1,714.33