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New Jersey rates for HCPCS L3040

Foot Arch Support Removable Premolded Longitudinal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $18.84 / $18.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $24.08 / $31.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $55.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $48.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $50.91 / $72.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.81 / $36.81 / $36.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $27.61 / $55.34