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New Jersey rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.35 / $240.35 / $240.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.35 / $268.86 / $506.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.39 / $382.03 / $654.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $572.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.52 / $601.72 / $856.79
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.71 / $654.04 / $654.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.66 / $349.61 / $654.04