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California rates for HCPCS E2205

Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $22.91 / $141.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $2.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $33.11 / $89.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $70.79
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $35.48 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $48.98
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $38.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.36 / $54.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $194.98 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $26.92 / $45.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $26.92 / $33.11
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $11.48 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $19.50 / $38.90