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New Jersey rates for HCPCS E2612

General Use Wheelchair Back Cushion Width 22 Inches Or Greater Any Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.87 / $193.49 / $333.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $326.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $430.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.33 / $310.33 / $464.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.54 / $249.54 / $249.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.41 / $218.34 / $411.46