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New York 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
$186.21 / $331.13 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $912.01
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $616.60
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $47.86 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $281.84 / $380.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $389.05 / $446.68
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $239.88 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $467.74
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $398.11 / $446.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $416.87 / $446.68