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New Jersey rates for HCPCS L8470

Prosthetic sock, single ply, fitting, below knee (BK), each

Facilitymedian $5 · 10th–90th $2–$80%20%40%10th90th$5Professionalmedian $4 · 10th–90th $3–$80%20%10th90th$4$2.0$5.0$10.0$20.0$50.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.39 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $5.13 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $5.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.59 / $10.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.03 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.79 / $7.76