go back

New Jersey rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Facilitymedian $776 · 10th–90th $776$2,1880%50%90th$776Professionalmedian $1,072 · 10th–90th $832$2,1380%10%20%10th90th$1,072$1.0K$2.0K$5.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,230.27
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,089.30
Typical High
$2,951.21
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,479.11
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,288.25
Typical High
$2,089.30