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New Jersey rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Facilitymedian $191 · 10th–90th $132–$3630%20%40%10th90th$191Professionalmedian $214 · 10th–90th $141–$3550%10%20%10th90th$214$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $204.17 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $295.12 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $295.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $338.84 / $489.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $269.15 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $354.81