go back

New Jersey rates for HCPCS L5714

Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.38 / $191.38 / $191.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.38 / $238.18 / $364.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.42 / $340.42 / $520.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $248.51 / $456.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.76 / $479.11 / $682.21
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.67 / $520.77 / $520.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.11 / $266.08 / $478.08