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New Jersey rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $331.13 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $478.63 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $478.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $812.83 / $1,122.02
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $398.11 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $588.84