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New Jersey rates for HCPCS L5782

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System Heavy Duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.45 / $1,826.45 / $1,826.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.45 / $2,219.53 / $3,231.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $4,970.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $2,404.69 / $4,352.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,540.57 / $4,572.51 / $6,510.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,730.63 / $4,970.12 / $4,970.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,241.05 / $2,479.54 / $4,562.81