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New Jersey rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.83 / $159.83 / $159.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.83 / $194.23 / $277.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.61 / $271.77 / $434.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $380.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.35 / $400.14 / $569.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.98 / $434.94 / $434.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.11 / $248.39 / $399.29