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New Jersey rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $53.70 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $72.44 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $72.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $100.00 / $138.04
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $63.10 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $47.86 / $79.43