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New Jersey rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.05 / $2,582.96 / $4,784.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,790.46 / $3,282.89 / $6,731.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,038.80 / $5,038.80 / $5,038.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.58 / $3,813.28 / $3,813.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.76 / $3,299.58 / $5,834.40