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New Jersey rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $16.45 / $16.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $16.13 / $25.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $28.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $25.65 / $25.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.00 / $1,080.00 / $1,641.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $39.96 / $47.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.17 / $20.21 / $30.77