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New Jersey rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $5 · 10th–90th $4–$140%20%40%10th90th$5Professionalmedian $7 · 10th–90th $5–$130%10%20%10th90th$7$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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.55
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.59 / $18.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $13.18