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Kentucky 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
Facility
Modifier
Low / Median / High Price
$181.53 / $181.53 / $268.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $200.47 / $268.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.94 / $345.94 / $345.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.44 / $317.14 / $365.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.28 / $344.48 / $651.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $390.97 / $645.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $524.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $250.72 / $430.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $272.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.91 / $223.86 / $317.14