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New Jersey rates for HCPCS L4020

Replace Quadrilateral Socket Brim, Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.30 / $421.30 / $421.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.30 / $490.59 / $624.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.46 / $751.98 / $1,237.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $1,347.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.59 / $1,138.56 / $1,621.22
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.56 / $1,237.57 / $1,237.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.54 / $479.78 / $1,237.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.56 / $617.41 / $1,237.57