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New Jersey rates for HCPCS L8400

Prosthetic sheath, below knee, each

Facilitymedian $13 · 10th–90th $9–$250%20%40%10th90th$13Professionalmedian $11 · 10th–90th $9–$250%20%10th90th$11$10.0$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $14.45 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $14.45
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $23.44 / $34.67
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $24.55