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New Jersey rates for HCPCS L1720

Legg Perthes orthosis, trilateral, (Tachdijan type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.38 / $505.38 / $505.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.38 / $675.95 / $954.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$852.85 / $1,149.77 / $1,484.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.33 / $839.33 / $1,299.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.23 / $1,365.76 / $1,944.72
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.73 / $1,484.52 / $1,484.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.38 / $740.61 / $1,362.86