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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
$1,167.76 / $1,167.76 / $1,167.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.76 / $1,323.56 / $1,938.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,975.67 / $2,050.41 / $3,177.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.80 / $1,496.80 / $3,373.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,903.06 / $2,923.47 / $4,162.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,024.57 / $3,177.69 / $3,177.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.78 / $1,671.64 / $3,177.69