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New Jersey rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.05 / $376.05 / $376.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.02 / $400.46 / $511.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.20 / $572.20 / $1,023.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $417.71 / $896.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.86 / $941.44 / $1,340.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.32 / $1,023.30 / $1,023.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.07 / $510.52 / $939.43