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New Jersey rates for HCPCS L1990

Ankle Foot Orthosis Double Upright Free Plantar Dorsiflexion Solid Stirrup Calf Band/Cuff (Double Bar Bk Orthosis) Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.88 / $203.88 / $203.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.88 / $234.36 / $302.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.79 / $313.79 / $598.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.07 / $229.07 / $524.41
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.11 / $550.98 / $784.55
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.85 / $598.89 / $598.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.43 / $298.77 / $598.89