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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
$258.18 / $258.18 / $258.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.09 / $296.79 / $368.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.06 / $477.88 / $758.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $856.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.85 / $697.72 / $993.49
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.62 / $758.39 / $758.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.11 / $378.35 / $696.25