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New Jersey rates for HCPCS L5850

Addition, endoskeletal system, above knee (AK) or hip disarticulation, knee extension assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.12 / $59.12 / $59.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.12 / $71.19 / $97.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.24 / $99.32 / $160.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $72.50 / $140.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $148.03 / $210.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.15 / $160.90 / $160.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.55 / $80.27 / $132.94