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New Jersey rates for HCPCS L3455

Heel New Leather Standard (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $20.83 / $26.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $47.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $57.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.72 / $44.04 / $62.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $31.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $23.89 / $43.95