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Kansas rates for HCPCS E2375

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.29 / $766.29 / $766.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.64 / $562.49 / $766.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.05 / $845.05 / $845.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $1,167.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.64 / $599.59 / $2,957.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $391.02 / $812.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $391.02 / $764.48