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Kentucky 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
$338.84 / $338.84 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $489.78 / $870.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $676.08 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $776.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $295.12 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $562.34