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New Jersey rates for HCPCS L5652

Addition to lower extremity, suction suspension, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.30 / $192.30 / $192.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.30 / $233.68 / $333.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.52 / $338.50 / $523.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $247.11 / $458.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.06 / $481.42 / $685.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.07 / $523.28 / $523.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.95 / $279.70 / $523.28