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Kentucky 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
$379.04 / $379.04 / $560.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.04 / $492.30 / $560.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.41 / $724.08 / $759.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.66 / $118.67 / $1,290.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $130.94 / $1,246.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $1,038.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $852.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $540.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $422.14 / $728.08