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New Jersey rates for HCPCS L1220

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.29 / $113.29 / $113.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.29 / $130.22 / $154.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.61 / $185.61 / $332.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $135.50 / $291.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.02 / $306.17 / $435.95
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.99 / $332.79 / $332.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.26 / $195.26 / $195.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.77 / $166.03 / $332.79