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New Jersey rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.87 / $21.87 / $21.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $21.38 / $33.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $21.94 / $33.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.93 / $44.93 / $45.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $26.57 / $40.18