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New Jersey rates for HCPCS L2112

Ankle-foot orthosis (AFO), fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.27 / $227.27 / $227.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.82 / $261.26 / $326.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.44 / $328.44 / $667.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.76 / $239.76 / $640.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.91 / $614.21 / $874.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.97 / $667.62 / $667.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.10 / $333.07 / $667.62