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Washington, DC rates for HCPCS E2369

Power Wheelchair Component Drive Wheel Gear Box Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.15 / $234.15 / $234.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.45 / $382.45 / $382.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.14 / $264.14 / $264.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.61 / $278.67 / $278.67