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New Jersey rates for HCPCS L3650

Shoulder Orthosis Figure Of Eight Design Abduction Restrainer Prefabricated Off-The-Shelf(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $16.07 / $25.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.57 / $33.25 / $42.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.69 / $46.70 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $34.09 / $69.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $69.08 / $98.37
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.74 / $75.09 / $75.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.09 / $87.18 / $104.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $38.06 / $75.09