go back

New Jersey rates for HCPCS L3649

Orthopedic Shoe Modification Addition Or Transfer Not Otherwise Specified (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.64 / $34.64 / $34.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $16.04 / $34.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12