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New Jersey rates for HCPCS L5985

All endoskeletal lower extremity prostheses, dynamic prosthetic pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.72 / $124.72 / $124.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.72 / $148.59 / $216.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $339.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $297.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.06 / $312.23 / $444.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.43 / $339.38 / $339.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.38 / $178.54 / $339.38