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New Jersey rates for HCPCS L4392

Replacement Soft Interface Material Static Afo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $9.42 / $9.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $12.04 / $15.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $27.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $24.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $25.46 / $36.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.02 / $27.67 / $27.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $13.80 / $25.39