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New Jersey rates for HCPCS L5920

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

Facilitymedian $316 · 10th–90th $234–$6460%20%40%10th90th$316Professionalmedian $363 · 10th–90th $251–$6310%10%10th90th$363$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $398.11 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $398.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $870.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $478.63 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $630.96