go back

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
$225.84 / $225.84 / $225.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.84 / $274.44 / $516.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.93 / $452.18 / $614.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $538.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.44 / $565.39 / $805.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.15 / $614.54 / $614.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $819.40 / $983.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.10 / $328.50 / $614.54