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Kentucky rates for HCPCS E2203

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.25 / $242.25 / $358.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $273.52 / $358.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.38 / $407.19 / $469.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.22 / $451.76 / $861.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.36 / $519.65 / $857.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $674.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $553.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $360.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.68 / $277.91 / $415.72