go back

New York 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 / $229.09 / $323.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $741.31
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $288.40 / $380.19
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $288.40 / $380.19
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $263.03 / $331.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $154.88 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $229.09 / $338.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $302.00 / $331.13
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $323.59 / $331.13