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New Jersey rates for HCPCS L1840

Knee orthosis (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.88 / $396.88 / $396.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.88 / $507.34 / $622.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.95 / $732.96 / $1,165.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.05 / $535.05 / $1,313.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.06 / $1,072.56 / $1,527.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.66 / $1,165.83 / $1,165.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.99 / $1,381.17 / $1,657.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.24 / $581.62 / $1,070.29