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New Jersey rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.47 / $63.47 / $63.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.47 / $89.47 / $117.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $186.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $163.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.34 / $171.52 / $244.24
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.07 / $186.44 / $186.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.23 / $92.18 / $186.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.99 / $98.03 / $171.16