go back

New Jersey rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $10,232.93 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,489.63 / $21,877.62 / $30,199.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,417.38 / $20,417.38 / $20,417.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $20,417.38 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $10,715.19 / $16,982.44