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Kentucky rates for HCPCS E2376

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$668.84 / $668.84 / $988.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.84 / $909.83 / $988.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.36 / $1,134.66 / $1,189.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.45 / $161.66 / $2,268.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.26 / $226.34 / $2,521.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $1,739.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.91 / $642.26 / $1,336.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,093.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.16 / $805.36 / $1,197.97