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Washington 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
$191.35 / $279.77 / $441.99
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.63 / $3,065.64 / $3,065.64
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.08 / $430.61 / $575.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $382.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $382.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.40 / $560.40 / $560.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.40 / $560.40 / $560.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $448.34 / $493.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.89 / $685.85 / $835.49
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.85 / $835.49 / $835.49
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.24 / $485.71 / $562.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.49 / $39.49 / $48.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.08 / $278.39 / $535.29