go back

New Jersey rates for HCPCS L5702

Replacement, socket, hip disarticulation, including hip joint, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,923.82 / $1,923.82 / $1,923.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.82 / $2,367.09 / $4,392.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,745.37 / $3,745.37 / $5,235.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,734.12 / $2,734.12 / $6,712.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,782.64 / $4,816.28 / $6,857.97
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,112.39 / $5,235.09 / $5,235.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,360.51 / $2,798.34 / $5,235.09