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New Jersey rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $616.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $407.38 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $741.31 / $1,023.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $489.78 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $363.08 / $549.54