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New Jersey rates for HCPCS L3720

Elbow Orthosis Double Upright With Forearm/Arm Cuffs Free Motion Custom-Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.30 / $327.30 / $327.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.35 / $376.24 / $450.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.57 / $450.57 / $961.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.92 / $328.92 / $868.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.34 / $884.52 / $1,259.47
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.89 / $961.43 / $961.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.35 / $479.65 / $882.64