go back

Wyoming 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
$438.84 / $438.84 / $817.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.11 / $852.11 / $852.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $1,151.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.42 / $581.42 / $581.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.46 / $445.59 / $725.96