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New Jersey rates for HCPCS L2126

Knee Ankle Foot Orthosis Fracture Orthosis Femoral Fracture Cast Orthosis Thermoplastic Type Casting Material Custom- Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.34 / $612.34 / $612.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.48 / $703.91 / $826.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.96 / $842.96 / $1,798.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.36 / $615.36 / $1,575.03
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.27 / $1,654.83 / $2,356.34
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.57 / $1,798.73 / $1,798.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.15 / $897.37 / $1,798.73