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New Jersey rates for HCPCS E1234

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.53 / $1,133.98 / $2,231.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,208.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.46 / $1,208.78 / $3,123.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,179.80 / $5,179.80 / $5,179.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.80 / $1,792.80 / $1,792.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.01 / $1,283.94 / $1,722.36