go back

Arkansas rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.86 / $283.86 / $283.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.00 / $278.00 / $420.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.90 / $636.48 / $707.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.04 / $56.04 / $58.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $56.04 / $58.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $393.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $382.62
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $319.70 / $483.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.60 / $286.30 / $442.42