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New Jersey rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $85.11 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $125.89 / $173.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $74.13 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $58.88 / $97.72