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New Jersey rates for HCPCS L5705

Custom Shaped Protective Cover Above Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.94 / $459.94 / $459.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.94 / $565.92 / $781.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.43 / $895.43 / $1,251.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.66 / $653.66 / $1,095.92
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.41 / $1,151.44 / $1,639.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.24 / $1,251.57 / $1,251.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.34 / $735.02 / $1,251.57