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Maryland 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
$190.55 / $218.78 / $288.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $141.25 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $363.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $295.12 / $295.12