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New Jersey rates for HCPCS L1970

Ankle-foot orthosis (AFO), plastic with ankle joint, custom fabricated

Facilitymedian $363 · 10th–90th $363–$1,0720%20%40%90th$363Professionalmedian $468 · 10th–90th $347–$1,0720%10%20%10th90th$468$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $436.52 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $549.54 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $645.65
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $1,000.00 / $1,479.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $436.52 / $1,096.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $549.54 / $1,047.13