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Wyoming 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
$398.11 / $398.11 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $380.19 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $758.58