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New Jersey rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $457.09 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $645.65 / $891.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $457.09 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $512.86