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New York 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
$538.67 / $798.45 / $1,102.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.89 / $904.89 / $1,345.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.09 / $735.49 / $980.66
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.09 / $735.49 / $980.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $1,047.23
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $332.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.79 / $746.63 / $1,148.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.39 / $784.54 / $811.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $542.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.14 / $542.66 / $1,047.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.44 / $646.01 / $946.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.39 / $738.39 / $738.39
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.39 / $738.39 / $811.59