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Alaska rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.11 / $694.11 / $694.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $333.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $343.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.96 / $305.45 / $452.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.28 / $474.63 / $666.17
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $479.05 / $531.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.02 / $312.56 / $447.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $343.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.48 / $625.75 / $1,103.03