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Arkansas 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
$320.45 / $467.66 / $467.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.96 / $1,019.06 / $1,132.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $672.84 / $1,136.49
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.71 / $672.84 / $1,136.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $763.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $470.69 / $706.94