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New Jersey rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $30.91 / $51.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $39.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $67.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.47 / $49.47 / $74.23
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $39.79 / $39.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $34.38 / $60.26