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New Jersey rates for HCPCS L5642

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.12 / $326.12 / $326.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.12 / $347.29 / $485.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.21 / $530.41 / $887.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $950.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.74 / $816.45 / $1,162.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.69 / $887.45 / $887.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.46 / $490.24 / $814.72