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New Jersey rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $8.23 / $8.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.07 / $12.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $20.91 / $28.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $22.52
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $17.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.59 / $10.11 / $15.53