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Arizona 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
$218.78 / $323.59 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $18.62 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $467.74 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $371.54 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $275.42 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $181.97 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $436.52