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New Jersey rates for HCPCS L2188

Addition to lower extremity fracture orthosis, quadrilateral brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $218.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $478.63 / $660.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $194.98 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $354.81