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New Jersey rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,922.45 / $2,922.45 / $2,922.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.26 / $2,742.35 / $3,736.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,728.42 / $3,728.42 / $5,195.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,721.75 / $2,721.75 / $4,549.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,746.64 / $4,780.03 / $6,806.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,073.92 / $5,195.68 / $5,195.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,396.59 / $2,951.92 / $5,195.68