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Arizona 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
$477.92 / $594.47 / $604.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.84 / $24.84 / $31.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.38 / $645.84 / $1,073.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $933.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.64 / $534.89 / $2,957.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.64 / $458.69 / $728.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.84 / $430.12 / $728.08