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New Jersey rates for HCPCS L5920

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.03 / $234.03 / $234.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.03 / $284.39 / $406.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.06 / $397.94 / $636.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $290.50 / $557.64
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.79 / $585.89 / $834.26
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.91 / $636.84 / $636.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.14 / $340.41 / $636.84