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New Jersey rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $22.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $22.91
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $23.99 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $8.71 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.00 / $16.98