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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
$190.55 / $190.55 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $338.84
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $776.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $380.19 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $426.58