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Delaware 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
$457.09 / $549.54 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $363.08 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $794.33