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New Jersey rates for HCPCS L5661

Addition to lower extremity, socket insert, multidurometer Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $389.05 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $457.09 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $457.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $776.25 / $1,071.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $549.54 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $616.60