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New Jersey rates for HCPCS E2389

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $13.52 / $26.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $21.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $37.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $29.80 / $30.11
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $21.32 / $21.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $17.96 / $29.15