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New Jersey rates for HCPCS L5684

Addition to lower extremity, below knee, fork strap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.79 / $21.79 / $21.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.79 / $25.81 / $40.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $59.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.27 / $27.27 / $51.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.19 / $54.57 / $77.70
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.93 / $59.32 / $59.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.74 / $31.87 / $54.45