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New Jersey rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.66 / $18.66 / $18.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.21 / $18.14 / $26.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.77 / $50.77 / $50.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $45.67 / $53.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.74 / $34.79