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Iowa 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
Facility
Modifier
Low / Median / High Price
$337.24 / $337.24 / $406.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.16 / $309.39 / $465.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $562.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $648.75 / $829.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.53 / $53.53 / $53.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $673.40 / $3,065.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.90 / $313.02 / $762.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.99 / $62.99 / $148.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.49 / $75.28 / $148.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.08 / $301.60 / $762.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.12 / $515.34 / $515.34