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New Jersey rates for HCPCS E2369

Power Wheelchair Component Drive Wheel Gear Box Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.97 / $211.58 / $390.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $332.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.99 / $332.93 / $525.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.29 / $346.29 / $495.01
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.68 / $303.68 / $303.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.24 / $266.27 / $401.75