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New Jersey rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.69 / $290.69 / $290.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.69 / $334.16 / $402.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $400.16 / $853.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $292.12 / $747.68
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.08 / $785.57 / $1,118.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.86 / $853.88 / $853.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.80 / $853.88 / $1,024.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.61 / $425.99 / $853.88