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New Jersey rates for HCPCS L3740

Elbow orthosis (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.83 / $494.83 / $494.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.89 / $568.82 / $729.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.08 / $736.22 / $1,453.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.44 / $537.44 / $1,272.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.89 / $1,337.24 / $1,904.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.45 / $1,453.52 / $1,453.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.72 / $725.14 / $1,334.40