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Washington, DC 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
$453.03 / $453.03 / $453.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.39 / $691.39 / $691.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.71 / $522.71 / $522.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $436.61 / $436.61