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Delaware rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $467.74 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $660.69 / $912.01