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New Jersey rates for HCPCS L3962

Shoulder Elbow Wrist Hand Orthosis Abduction Positioning Erbs Palsey Design Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.27 / $269.27 / $269.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.27 / $360.16 / $475.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $494.25 / $790.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $360.80 / $692.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.63 / $727.70 / $1,036.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.44 / $790.98 / $790.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.66 / $394.61 / $790.98