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Alaska rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.77 / $561.77 / $561.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $332.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.99 / $332.93 / $332.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.73 / $273.60 / $394.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.21 / $51.49 / $54.20
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $430.44 / $1,075.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.98 / $273.63 / $390.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.99 / $332.93 / $332.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.16 / $489.06 / $893.07