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New Jersey rates for HCPCS L8420

Prosthetic Sock Multiple Ply Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $10.98 / $16.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.94 / $16.29 / $27.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $29.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.73 / $24.90 / $35.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $26.43 / $27.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $31.12 / $37.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.15 / $14.04 / $24.84