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New Jersey rates for HCPCS L5987

All Lower Extremity Prosthesis Shank Foot System With Vertical Loading Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,114.88 / $3,114.88 / $3,114.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,114.88 / $3,785.25 / $5,510.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $8,476.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $7,422.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,743.61 / $7,798.09 / $11,103.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,422.04 / $8,277.52 / $8,476.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,821.95 / $5,056.97 / $8,476.18