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New Jersey rates for HCPCS L3003

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.76 / $69.76 / $69.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.76 / $89.18 / $112.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $204.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $108.85 / $179.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.22 / $188.54 / $268.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.14 / $204.94 / $204.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.96 / $103.88 / $204.94