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New Jersey rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.40 / $24.40 / $24.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.40 / $31.19 / $45.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.83 / $52.95 / $71.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $62.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.47 / $65.94 / $93.89
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $71.67 / $71.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $35.75 / $59.59