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New Jersey rates for HCPCS L2795

Addition to lower extremity orthosis, knee control, full kneecap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.61 / $36.61 / $36.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $46.81 / $59.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $62.81 / $107.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $45.85 / $94.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.26 / $98.95 / $140.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.18 / $105.03 / $107.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.63 / $53.66 / $98.74