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New Jersey rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $223.87 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $398.11
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $208.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $398.11 / $549.54
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $371.54 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $288.40