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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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.49
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $21.38 / $29.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $19.95 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.00 / $16.60