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New Jersey rates for HCPCS E1222

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.11 / $395.06 / $705.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $1,335.94
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
$504.51 / $629.91 / $629.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.47 / $474.13 / $871.72