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New Jersey rates for HCPCS L0700

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.38 / $775.38 / $775.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.38 / $1,048.66 / $1,367.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.84 / $1,703.99 / $2,277.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.91 / $1,243.91 / $1,994.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.79 / $2,095.42 / $2,983.70
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.88 / $2,277.63 / $2,277.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.62 / $1,520.62 / $1,520.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.66 / $1,136.29 / $2,277.63