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New Jersey rates for HCPCS L5930

Addition Endoskeletal System High Activity Knee Control Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,486.70 / $1,486.70 / $1,486.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.70 / $1,771.11 / $2,575.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,282.71 / $2,282.71 / $4,045.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,710.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,695.94 / $3,721.93 / $5,299.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,950.76 / $4,045.58 / $4,045.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.54 / $2,162.51 / $4,045.58