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New Jersey rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.14 / $317.14 / $317.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.14 / $385.39 / $565.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.66 / $582.20 / $863.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $425.01 / $755.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.42 / $793.96 / $1,130.53
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.77 / $863.00 / $863.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.13 / $461.30 / $863.00