go back

New Jersey rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.12 / $432.16 / $786.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $1,038.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.84 / $739.84 / $1,038.27
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.15 / $582.15 / $582.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.95 / $509.38 / $1,046.67