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New Jersey rates for HCPCS L1951

Ankle foot orthosis (AFO), spiral, (Institute of Rehabilitative Medicine-type), plastic or other material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.22 / $336.22 / $336.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.22 / $421.51 / $543.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.15 / $712.15 / $712.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.11 / $710.11 / $987.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.38 / $518.38 / $1,173.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.27 / $908.61 / $1,293.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.47 / $987.62 / $987.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.47 / $492.71 / $906.69