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New Jersey rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.95 / $392.25 / $709.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $933.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.52 / $687.52 / $942.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.24 / $554.24 / $554.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.68 / $422.14 / $633.48