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Kentucky rates for HCPCS E2202

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.43 / $247.43 / $365.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $292.66 / $365.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.69 / $426.29 / $464.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.81 / $450.43 / $887.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $531.46 / $870.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $666.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $547.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $364.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.57 / $284.39 / $423.03