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Alaska rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $354.81 / $363.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $407.38 / $645.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $645.65 / $2,187.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $64.57 / $645.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $131.83 / $645.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $323.59 / $478.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $354.81 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $186.21 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $616.60 / $1,122.02