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New Jersey rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.38 / $477.51 / $947.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.72 / $746.73 / $1,196.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.45 / $1,017.45 / $1,017.45
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.36 / $754.64 / $754.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.84 / $596.96 / $701.03