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New Jersey rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.34 / $249.34 / $249.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.34 / $303.00 / $464.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.66 / $472.30 / $678.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $594.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.85 / $624.22 / $888.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.12 / $645.79 / $678.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.93 / $356.92 / $678.50