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New Jersey rates for HCPCS L4010

Replace trilateral socket brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $630.96 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $630.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,318.26
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $501.19 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $446.68 / $691.83