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New Jersey rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $39.81 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $31.62 / $60.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $42.66 / $53.70
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $20.42 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $26.92 / $50.12