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Rhode Island 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 / $348.12 / $496.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.66 / $597.25 / $919.47
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
$362.62 / $517.39 / $862.32