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Oregon 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
$436.52 / $436.52 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $338.84 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $1,288.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $338.84 / $549.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $501.19 / $524.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $501.19 / $660.69
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $602.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $354.81 / $676.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $281.84 / $588.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $724.44 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $263.03 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $263.03 / $489.78