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New Jersey rates for HCPCS L3620

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup Existing (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $30.55 / $30.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.55 / $39.06 / $49.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.32 / $51.32 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.46 / $37.46 / $78.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.57 / $117.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.65 / $89.75 / $89.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.21 / $44.78 / $89.75