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New Jersey rates for HCPCS L2640

Addition to lower extremity, pelvic control, band and belt, bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.85 / $171.85 / $171.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.81 / $197.55 / $227.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.57 / $236.57 / $504.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $172.70 / $438.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.16 / $464.41 / $661.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.47 / $504.79 / $504.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.13 / $251.84 / $504.79