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New Jersey rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.90 / $27.90 / $27.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.90 / $35.65 / $47.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $81.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $71.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.87 / $75.39 / $107.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.03 / $81.95 / $81.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $40.88 / $81.95