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California 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
$186.73 / $289.33 / $483.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.63 / $36.15 / $890.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.47 / $403.64 / $563.89
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.03 / $784.03 / $784.03
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $296.70 / $526.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $526.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $645.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.98 / $473.98 / $568.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.03 / $436.37 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.61 / $2,537.59 / $2,537.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.30 / $359.99 / $662.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $422.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.18 / $1,036.18 / $1,036.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.35 / $417.35 / $473.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.37 / $259.64 / $406.04