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New Jersey rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,478.30 / $6,478.30 / $6,478.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,478.30 / $7,634.61 / $11,115.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $17,095.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $14,969.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,618.44 / $15,728.30 / $22,395.73
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,969.83 / $16,695.29 / $17,095.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,948.84 / $8,528.99 / $17,095.98