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Arizona 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
$524.69 / $645.45 / $664.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.14 / $26.14 / $32.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.03 / $679.42 / $942.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $581.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $1,038.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.97 / $664.08 / $4,173.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.19 / $445.59 / $691.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.26 / $436.61 / $691.39