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New Jersey rates for HCPCS L3250

Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.43 / $136.43 / $136.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.35 / $132.91 / $195.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.68 / $210.68 / $210.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.80 / $153.80 / $217.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.78 / $220.78 / $220.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.31 / $279.31 / $285.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.46 / $165.69 / $279.51