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New Jersey rates for HCPCS E1240

Lightweight Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.88 / $605.65 / $1,192.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $1,590.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.80 / $1,083.80 / $1,083.80
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.52 / $957.52 / $957.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.10 / $697.85 / $1,325.59