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New Jersey rates for HCPCS L5672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.52 / $131.52 / $131.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.52 / $183.86 / $235.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.47 / $297.81 / $357.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $217.40 / $313.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.97 / $329.27 / $468.85
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.51 / $357.90 / $357.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.33 / $191.31 / $328.57