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New Jersey rates for HCPCS L5642

Addition to lower extremity, above knee (AK), leather socket

Facilitymedian $372 · 10th–90th $324$8910%20%40%10th90th$372Professionalmedian $398 · 10th–90th $324$8910%20%10th90th$398$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
$323.59 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $380.19 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $524.81 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $524.81
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $831.76 / $1,230.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $562.34 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $501.19 / $891.25