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New Jersey rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.51 / $32.51 / $32.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.51 / $39.54 / $57.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $88.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $36.97 / $77.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.81 / $81.40 / $115.91
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.41 / $88.48 / $88.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $47.30 / $88.48