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New Jersey rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $60.26 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $75.86 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $75.86
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $120.23 / $165.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $69.18 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $57.54 / $93.33