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New Jersey rates for HCPCS L5728

Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,445.44 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,513.56 / $2,041.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,388.44 / $4,677.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,137.96 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,511.89