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New Jersey rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $8.77 / $11.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $20.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $17.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $18.57 / $26.44
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $20.18 / $20.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.95 / $9.11 / $20.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $10.38 / $18.53