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Oregon rates for HCPCS E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $295.12 / $295.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $426.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $416.87 / $2,691,534.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $251.19 / $295.12