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New Jersey rates for HCPCS L3001

Foot Insert Removable Molded To Patient Model Spenco Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.95 / $52.95 / $52.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.95 / $67.69 / $85.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.96 / $88.96 / $155.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $64.94 / $149.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.11 / $143.11 / $203.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.90 / $155.55 / $155.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.48 / $77.59 / $142.80