go back

Kansas rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.33 / $1,024.33 / $1,024.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.69 / $751.91 / $1,024.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.16 / $1,020.16 / $1,020.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.26 / $542.66 / $1,659.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.90 / $948.63 / $5,719.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.11 / $561.16 / $904.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.82 / $566.74 / $904.89