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New Jersey rates for HCPCS L3254

Nonstandard size or width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $14.00 / $14.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.05 / $28.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.75 / $10.75 / $10.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $7.85 / $10.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $18.77 / $18.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $30.00