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New Jersey rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.04 / $30.04 / $30.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.39 / $34.11 / $42.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $81.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $71.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.69 / $75.22 / $107.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $81.76 / $81.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.14 / $40.79 / $81.76