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New Jersey rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $338.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $457.09 / $630.96
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
$407.38 / $660.69 / $912.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $489.78 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $512.86