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New Jersey rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.73 / $322.73 / $322.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.73 / $352.88 / $551.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.96 / $589.44 / $878.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $768.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.31 / $807.94 / $1,150.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.62 / $878.20 / $878.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.31 / $469.44 / $878.20