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New Jersey rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.66 / $449.66 / $449.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.66 / $553.27 / $880.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $1,223.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $512.74 / $1,071.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.86 / $1,125.73 / $1,602.94
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.66 / $1,223.61 / $1,223.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.78 / $635.03 / $1,223.61