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New Jersey rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

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 / $24.18 / $31.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.65 / $31.65 / $55.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $23.10 / $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
Facility
Modifier
Low / Median / High Price
$19.07 / $25.04 / $55.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $27.61 / $55.34