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Kentucky 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
$528.17 / $528.17 / $780.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.20 / $628.47 / $780.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.75 / $912.14 / $912.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.01 / $882.78 / $1,808.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.75 / $1,000.51 / $1,713.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $1,405.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $926.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.23 / $607.92 / $904.89