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New Jersey rates for HCPCS E2628

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $420.89 / $734.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $313.98 / $1,046.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.04 / $841.04 / $953.05
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.18 / $72.18 / $620.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.16 / $489.89 / $928.98