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New Jersey rates for HCPCS E2617

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $676.08 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $758.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33