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New Jersey rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.26 / $575.95 / $1,066.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.80 / $840.94 / $1,586.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.80 / $1,162.80 / $1,162.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.80 / $820.80 / $820.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.55 / $671.05 / $1,260.21