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New Jersey rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.36 / $16.36 / $16.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $18.80 / $22.64
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $29.97 / $48.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $52.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.91 / $44.22 / $62.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.75 / $48.06 / $48.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.98 / $48.06