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New Jersey rates for HCPCS L3660

Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.27 / $39.47 / $45.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $45.38 / $66.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $70.80 / $115.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $51.68 / $131.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.94 / $106.68 / $151.91
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.66 / $53.66 / $77.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.09 / $57.85 / $115.96