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New Jersey rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $47.91 / $58.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.58 / $73.27 / $104.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $91.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.38 / $96.05 / $136.76
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.95 / $104.40 / $104.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.02 / $52.09 / $95.85