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New Jersey rates for HCPCS L3100

Hallux-valgus night dynamic splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $22.13 / $30.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $50.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $25.47 / $44.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.45 / $46.77 / $66.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.65 / $50.84 / $50.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.08 / $25.37 / $50.84