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New Jersey rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.93 / $30.93 / $30.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.93 / $39.54 / $51.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $90.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $79.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $83.58 / $119.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.72 / $90.85 / $90.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.93 / $45.32 / $75.54