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New Jersey rates for HCPCS L3570

Orthopedic Shoe Addition Special Extension To Instep (Leather With Eyelets) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.11 / $34.11 / $34.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $43.62 / $55.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $100.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.84 / $87.78
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.57 / $92.23 / $131.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $46.87 / $66.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $50.01 / $92.03