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New Jersey rates for HCPCS L5645

Addition to lower extremity, below knee (BK), flexible inner socket, external frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.93 / $351.93 / $351.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.93 / $420.14 / $610.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.25 / $718.25 / $718.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.20 / $694.09 / $957.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.69 / $506.69 / $838.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.90 / $881.05 / $1,254.53
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.22 / $957.66 / $957.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.81 / $546.91 / $957.66