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New Jersey rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

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 / $100.00 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $112.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $269.15
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 / $120.23 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $93.33 / $154.88