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New Jersey rates for HCPCS L5670

Addition To Lower Extremity Below Knee Molded Supracondylar Suspension (Pts Or Similar)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.82 / $123.82 / $123.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.82 / $165.76 / $207.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.00 / $203.51 / $336.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $295.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.83 / $310.00 / $441.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.72 / $336.96 / $336.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $185.18 / $336.96