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Kentucky rates for HCPCS E2204

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.13 / $416.13 / $615.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $488.10 / $615.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.32 / $699.76 / $797.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.41 / $767.12 / $1,480.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.65 / $897.12 / $1,473.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $1,144.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $939.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $617.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.79 / $488.04 / $717.70