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New Jersey rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.65 / $778.65 / $778.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.65 / $1,052.11 / $1,373.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.54 / $1,499.97 / $2,287.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,094.98 / $2,002.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.56 / $2,104.25 / $2,996.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.62 / $2,287.23 / $2,287.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.30 / $1,141.07 / $2,287.23