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Washington rates for HCPCS E2626

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $457.09 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $676.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $562.34 / $870.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $776.25 / $851.14
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $851.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $660.69 / $1,000.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $83.18 / $660.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $70.79 / $70.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $251.19 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $363.08 / $707.95