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New Jersey rates for HCPCS L5981

All Lower Extremity Prostheses Flex-Walk System Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,368.73 / $1,368.73 / $1,368.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.73 / $1,684.10 / $2,556.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,696.34 / $2,696.34 / $2,696.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.07 / $2,160.07 / $3,724.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $3,261.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,402.67 / $3,426.59 / $4,879.16
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,545.09 / $3,724.55 / $3,724.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.42 / $1,986.70 / $3,724.55