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Alaska rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.42 / $1,630.42 / $1,630.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $642.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $661.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.15 / $893.78 / $1,279.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.63 / $153.59 / $161.66
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.90 / $1,342.27 / $2,947.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.22 / $843.32 / $1,264.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $661.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.98 / $1,610.38 / $2,705.43