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New Jersey rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.06 / $43.84 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.91 / $62.81 / $88.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $77.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.65 / $81.22 / $115.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.21 / $88.28 / $88.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $44.04 / $88.28