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California 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
$188.73 / $292.45 / $488.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.51 / $36.02 / $812.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.20 / $407.10 / $561.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.42 / $792.42 / $792.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $279.60 / $531.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $531.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $581.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.05 / $479.05 / $574.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.83 / $425.64 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.99 / $2,391.90 / $2,391.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.24 / $362.43 / $669.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $408.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.46 / $976.46 / $976.46
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.98 / $380.98 / $479.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.69 / $253.54 / $458.80