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Iowa rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $776.25 / $1,122.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $77.62 / $77.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $891.25 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $407.38 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,096.48 / $2,238.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $275.42 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $398.11 / $1,071.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $776.25