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New Jersey rates for HCPCS L3630

Transfer of an orthosis from one shoe to another, solid stirrup, new

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $57.54 / $107.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $125.89 / $173.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $117.49 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $58.88 / $93.33