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New Jersey rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.16 / $774.16 / $774.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.16 / $989.62 / $1,251.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.55 / $1,300.55 / $2,274.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.40 / $949.40 / $2,701.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,077.51 / $2,092.14 / $2,979.02
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.48 / $2,274.06 / $2,274.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.83 / $1,134.50 / $2,274.06