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New Jersey rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,441.66 / $10,441.66 / $10,441.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,441.66 / $12,631.57 / $18,386.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $28,413.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $24,880.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,958.04 / $26,140.61 / $37,221.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27,747.76 / $28,413.71 / $28,413.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,383.10 / $34,568.35 / $41,482.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,811.85 / $14,329.83 / $26,085.20