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New Jersey rates for HCPCS L4100

Replace leather cuff KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $63.10 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $74.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $154.88 / $213.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $79.43 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $72.44 / $114.82