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Maryland 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
$639.63 / $785.16 / $1,410.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.26 / $1,056.26 / $1,056.26
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 / $545.91 / $642.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.45 / $1,630.50 / $2,075.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.88 / $778.68 / $1,267.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.51 / $1,031.51 / $1,285.71