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New Jersey rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.86 / $222.86 / $222.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.86 / $298.74 / $404.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.53 / $459.90 / $606.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $802.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.02 / $557.91 / $794.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.22 / $606.42 / $606.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.73 / $333.74 / $606.42