go back

New Jersey rates for HCPCS L3221

Orthopedic Footwear Mens Shoe Depth Inlay Each Covered By Medicare. Statute Reference: 1862a8)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.97 / $53.97 / $53.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.93 / $52.44 / $82.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $50.99 / $83.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.88 / $95.88 / $95.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $112.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.81 / $63.86 / $105.98