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New Jersey rates for HCPCS L5722

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.23 / $398.23 / $398.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.23 / $499.55 / $826.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.19 / $875.29 / $1,083.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $948.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.01 / $996.98 / $1,419.61
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.45 / $1,083.67 / $1,083.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.57 / $565.65 / $1,083.67