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New Jersey rates for HCPCS L8420

Prosthetic sock, multiple ply, below knee (BK), each

Facilitymedian $15 · 10th–90th $9–$270%20%40%10th90th$15Professionalmedian $13 · 10th–90th $10–$270%20%10th90th$13$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
$10.00 / $12.02 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $16.22 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $16.22
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.12 / $37.15
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $17.38 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $26.92