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New Jersey rates for HCPCS L5692

Addition to lower extremity, above knee (AK), pelvic control belt, light

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $100.00 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $100.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $234.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $120.23 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $83.18 / $131.83