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New Jersey rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.61 / $448.61 / $448.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.61 / $551.99 / $774.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $1,220.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $1,068.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.25 / $1,123.08 / $1,599.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.93 / $1,220.75 / $1,220.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.89 / $633.54 / $1,220.75