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New Jersey rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.77 / $839.77 / $839.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.77 / $1,071.32 / $1,457.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.99 / $1,800.00 / $2,285.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $2,110.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,087.69 / $2,102.37 / $2,993.60
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.63 / $2,285.19 / $2,285.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.05 / $1,140.05 / $2,097.91