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New Jersey rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.04 / $1,522.04 / $1,522.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.94 / $1,620.83 / $2,400.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $4,141.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $4,123.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,783.81 / $3,810.44 / $5,425.73
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,044.71 / $4,141.78 / $4,141.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.94 / $2,088.81 / $4,141.78