go back

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
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $204.17 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $251.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $426.58 / $588.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $398.11 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $338.84