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New Jersey rates for HCPCS L4110

Replace Leather Cuff Kafo-Afo, Calf Or Distal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.88 / $42.88 / $42.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $49.29 / $57.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.81 / $61.81 / $125.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $45.12 / $110.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.07 / $115.86 / $164.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.99 / $125.94 / $125.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $62.83 / $97.02