go back

Iowa rates for HCPCS E2378

Power wheelchair component, actuator, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.53 / $413.53 / $497.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.03 / $371.01 / $571.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.88 / $450.88 / $654.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.88 / $735.57 / $998.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.00 / $1,114.00 / $1,180.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.43 / $1,076.04 / $3,564.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.45 / $353.17 / $934.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.33 / $78.33 / $185.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.11 / $93.88 / $185.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.50 / $266.23 / $528.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.08 / $352.72 / $934.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.30 / $640.89 / $640.89