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New Jersey rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $117.49 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $117.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $263.03
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $104.71 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $91.20 / $147.91