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Alabama rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.06 / $514.66 / $747.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.66 / $786.66 / $786.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.42 / $581.42 / $1,038.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $470.69 / $706.94