go back

Connecticut 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
$141.25 / $263.03 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $323.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $213.80 / $478.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $154.88 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $208.93 / $295.12