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New Jersey rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.92 / $35.92 / $35.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.74 / $38.26 / $54.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $45.81 / $97.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.44 / $33.44 / $85.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.31 / $89.94 / $128.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.47 / $97.76 / $97.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.58 / $48.77 / $97.76