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New Jersey rates for HCPCS L5707

Custom Shaped Protective Cover Hip Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.71 / $602.71 / $602.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.71 / $741.59 / $1,100.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,640.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,436.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,498.34 / $1,508.87 / $2,148.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.05 / $1,640.08 / $1,640.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.73 / $856.09 / $1,640.08