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Maryland 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
$362.59 / $450.69 / $790.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.05 / $674.05 / $674.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $346.77 / $407.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.40 / $612.07 / $994.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.02 / $441.80 / $731.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.17 / $524.17 / $665.38