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New Jersey rates for HCPCS L3257

Orthopedic Footwear Additional Charge For Split Size (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $13.44 / $13.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $13.11 / $19.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $28.09 / $28.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $28.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $62.78 / $62.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $33.11 / $39.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $16.42 / $25.28