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New Jersey rates for HCPCS L1700

Legg Perthes orthosis, (Toronto type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.69 / $585.69 / $585.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.69 / $783.36 / $1,033.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.07 / $1,212.63 / $1,720.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.22 / $885.22 / $1,506.47
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,571.74 / $1,582.80 / $2,253.76
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.10 / $1,720.43 / $1,720.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.75 / $858.30 / $1,720.43