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New Jersey rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.46 / $528.90 / $704.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.00 / $674.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,938.00 / $1,938.00 / $1,938.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.32 / $496.32 / $496.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.94 / $464.08 / $560.47