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New Jersey rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.26 / $9.26 / $9.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $9.86 / $14.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.70 / $14.44 / $25.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $21.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.01 / $23.17 / $33.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $25.19 / $25.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $12.56 / $25.19