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Florida 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
$203.60 / $241.02 / $330.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $357.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.99 / $332.93 / $332.93
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.27 / $337.27 / $337.27
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.50 / $350.14 / $487.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.73 / $347.60 / $386.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.83 / $229.60 / $360.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.23 / $386.23 / $386.23