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New Jersey rates for HCPCS L3678

Shoulder orthosis (SO), shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $97.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.60 / $94.60 / $94.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.06 / $69.06 / $124.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.38 / $102.38 / $102.38
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.63 / $333.63 / $392.50