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New Jersey rates for HCPCS L1907

Afo Orthosis Supramalleolar With Straps With Orwithout Interface/Pads Custom Fabricated (Revised01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.27 / $225.27 / $225.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.27 / $287.95 / $364.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.48 / $419.48 / $661.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.22 / $306.22 / $579.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.52 / $608.78 / $866.85
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.21 / $661.72 / $661.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.35 / $330.12 / $661.72