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New York rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,229.67 / $3,366.08 / $5,549.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,316.60 / $4,316.60 / $5,395.75
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.19 / $482.19 / $6,268.47
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.19 / $482.19 / $6,268.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.23 / $3,282.89 / $3,888.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,895.24 / $3,973.14 / $4,221.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $3,282.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.23 / $3,282.89 / $3,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.53 / $3,336.62 / $4,766.60
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,973.14 / $3,973.14 / $3,973.14
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,973.14 / $3,973.14 / $4,221.46