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New York 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
$392.25 / $555.99 / $806.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.41 / $649.41 / $916.06
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.04 / $560.47 / $1,027.52
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.04 / $560.47 / $1,027.52
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 / $586.66
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.33 / $532.64 / $747.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.96 / $742.64 / $782.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $586.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.83 / $459.29 / $772.06
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.96 / $698.96 / $698.96
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.96 / $698.96 / $782.15