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New Jersey rates for HCPCS L2785

Addition to lower extremity orthosis, drop lock retainer, each

Facilitymedian $15 · 10th–90th $14–$420%20%40%10th90th$15Professionalmedian $20 · 10th–90th $15–$420%10%20%10th90th$20$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $22.91
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $39.81 / $57.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $40.74