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New Jersey rates for HCPCS L5962

Addition, endoskeletal system, below knee (BK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.26 / $259.26 / $259.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.26 / $315.05 / $599.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.56 / $448.56 / $705.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $327.45 / $617.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.52 / $649.04 / $924.19
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.95 / $705.49 / $705.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.15 / $470.15 / $470.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.11 / $351.96 / $705.49