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New Jersey rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.80 / $133.80 / $133.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.32 / $153.81 / $177.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.69 / $190.69 / $393.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $139.19 / $341.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.08 / $361.60 / $514.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.83 / $393.04 / $393.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.54 / $196.09 / $393.04