go back

New Jersey rates for HCPCS L2768

Orthotic Side Bar Disconnect Device, Per Bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.16 / $52.16 / $52.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $66.67 / $84.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.06 / $99.06 / $153.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.31 / $72.31 / $134.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.97 / $140.94 / $200.69
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.61 / $153.19 / $153.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.53 / $76.43 / $153.19