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New Jersey rates for HCPCS E2390

Power Wheelchair Accessory Solid (Rubber/Plastic)Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.78 / $22.31 / $41.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $32.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $58.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.15 / $46.15 / $47.07
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $33.09 / $33.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $28.08 / $46.05