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New Jersey rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.31 / $279.32 / $517.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $652.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.50 / $484.50 / $484.50
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.60 / $389.60 / $389.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.57 / $325.43 / $382.82