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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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $31.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $58.88 / $81.28
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $54.95 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $27.54 / $43.65