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New Jersey rates for HCPCS L1812

Knee orthosis (KO), elastic with joints, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.91 / $42.91 / $42.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $47.36 / $69.47
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.10 / $173.60 / $173.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.59 / $84.97 / $87.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.03 / $62.03 / $90.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.54 / $83.15 / $110.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $100.63 / $100.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $60.38 / $102.24