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New Jersey rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $68.92 / $113.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $81.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $144.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.25 / $104.25 / $165.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.54 / $85.54 / $85.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.95 / $80.11 / $142.84