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New Jersey rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.01 / $29.01 / $29.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.01 / $41.00 / $53.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.25 / $71.02 / $85.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $51.84 / $74.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $78.41 / $111.65
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.23 / $85.23 / $85.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $44.10 / $85.23