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New Jersey rates for HCPCS L4040

Replace Molded Thigh Lacer, For Custom Fabricated Orthotic Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.11 / $185.11 / $185.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.11 / $219.47 / $276.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.52 / $352.55 / $543.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.36 / $257.36 / $476.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.75 / $500.23 / $712.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.99 / $543.73 / $543.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.32 / $271.27 / $499.18