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New Jersey rates for HCPCS L3730

Elbow orthosis (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.22 / $441.22 / $441.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.99 / $507.20 / $596.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.71 / $620.97 / $1,296.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.31 / $453.31 / $1,134.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.05 / $1,192.38 / $1,697.84
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.68 / $1,296.06 / $1,296.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.77 / $646.59 / $1,296.06