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New Jersey rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.76 / $240.76 / $240.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.75 / $276.76 / $348.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $707.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $619.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.09 / $650.65 / $926.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.27 / $673.15 / $707.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.30 / $352.82 / $544.77