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New Jersey rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.76 / $125.76 / $125.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.76 / $174.67 / $240.19
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.22 / $321.75 / $369.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $369.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.22 / $154.22 / $237.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.48 / $339.86 / $483.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.75 / $369.41 / $369.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.16 / $184.30 / $339.14