go back

Iowa rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.74 / $282.74 / $340.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.97 / $261.86 / $390.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $357.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $357.22 / $656.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $693.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.93 / $677.29 / $1,865.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.86 / $276.01 / $566.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.56 / $57.56 / $136.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.13 / $68.80 / $136.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.72 / $213.91 / $566.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.07 / $470.97 / $470.97