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New Jersey rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.38 / $20.38 / $20.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $26.05 / $36.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $59.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $57.46
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $55.05 / $78.39
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $59.84 / $59.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $29.86 / $59.84