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New York 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 / $580.88 / $846.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.76 / $699.76 / $1,060.20
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.56 / $649.20 / $865.60
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.56 / $649.20 / $865.60
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.59 / $577.82 / $804.17
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.73 / $705.22 / $718.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.71 / $581.42 / $763.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $517.39 / $802.35
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.73 / $663.73 / $663.73
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.73 / $663.73 / $718.31