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New Jersey rates for HCPCS L2250

Addition to lower extremity, foot plate, molded to patient model, stirrup attachment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.28 / $136.28 / $136.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.28 / $182.27 / $252.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.88 / $252.60 / $400.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.40 / $184.40 / $466.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.71 / $368.29 / $524.41
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.93 / $400.31 / $400.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.26 / $199.71 / $367.50