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Arkansas rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $199.53 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $1,000,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $346.74
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $173.78 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $204.17 / $309.03