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Arizona 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
$843.32 / $1,149.58 / $1,149.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.95 / $45.95 / $57.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.06 / $1,194.75 / $1,986.28
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 / $1,755.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.41 / $1,000.50 / $8,276.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.48 / $756.24 / $1,197.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.75 / $756.24 / $1,197.38