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New Jersey rates for HCPCS L5700

Replacement Socket Below Knee Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.40 / $1,230.40 / $1,230.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.40 / $1,513.89 / $2,579.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $3,348.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $2,931.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,058.79 / $3,080.29 / $4,386.06
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,186.81 / $3,348.14 / $3,348.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.70 / $1,789.71 / $3,348.14