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New Jersey rates for HCPCS L5973

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

Facilitymedian $7,586 · 10th–90th $7,586–$20,8930%50%90th$7,586Professionalmedian $10,471 · 10th–90th $7,943–$20,4170%10%20%10th90th$10,471$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,772.37 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $12,882.50 / $20,892.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $12,882.50
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $19,952.62 / $28,183.83
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,125.38 / $21,877.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $12,302.69 / $20,417.38