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Arkansas rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.66 / $426.66 / $426.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.55 / $655.55 / $655.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.43 / $929.68 / $1,032.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.84 / $81.84 / $103.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $81.84 / $103.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $590.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $590.76
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.88 / $753.88 / $753.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.42 / $361.84 / $719.51