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New Jersey rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.01 / $865.01 / $865.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.01 / $1,051.17 / $1,530.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $2,353.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $2,061.12
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.42 / $2,165.55 / $3,083.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.69 / $2,353.86 / $2,353.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.35 / $1,174.31 / $2,160.96