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New Jersey rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.58 / $473.58 / $473.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.58 / $575.49 / $821.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.12 / $908.11 / $1,288.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $1,494.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.31 / $1,185.58 / $1,688.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.48 / $1,288.69 / $1,288.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.51 / $1,718.25 / $2,061.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.08 / $672.67 / $1,288.69