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New Jersey rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,564.30 / $1,564.30 / $1,564.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.30 / $1,924.74 / $3,149.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.97 / $3,364.97 / $4,256.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,456.42 / $3,727.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,888.86 / $3,916.22 / $5,576.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,156.99 / $4,256.76 / $4,256.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.49 / $2,298.11 / $4,256.76