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Arizona rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.35 / $334.40 / $334.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.98 / $13.98 / $17.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.52 / $363.38 / $604.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $332.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $656.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.10 / $309.20 / $1,865.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.86 / $240.94 / $382.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.23 / $246.49 / $382.45