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New Jersey rates for HCPCS E2617

Custom Fabricated Wheelchair Back Cushion Any Size Including Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.05 / $667.57 / $695.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $405.00 / $413.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.25 / $405.00 / $750.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,927.21 / $3,927.21 / $3,927.21
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.50 / $637.50 / $750.00