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Kentucky 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
$246.24 / $246.24 / $364.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $299.20 / $364.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.79 / $382.79 / $382.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.60 / $412.80 / $430.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.85 / $81.26 / $830.31
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.54 / $81.84 / $928.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $644.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $483.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $402.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.60 / $282.60 / $412.85