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Arizona rates for HCPCS E2201

Manual Wheelchair Accessory Nonstandard Seat Frame Width Greater Than Or Equal To 20 Inches And Less Than 24 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.71 / $275.33 / $289.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.01 / $352.01 / $352.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $11.15 / $13.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.37 / $289.83 / $481.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $319.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $431.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $275.33 / $1,745.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.29 / $204.39 / $317.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.43 / $187.36 / $317.14