go back

Arizona rates for HCPCS E2628

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.52 / $668.60 / $668.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.62 / $29.62 / $37.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.41 / $769.88 / $1,279.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $313.98 / $1,046.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.58 / $705.45 / $4,343.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.85 / $435.42 / $681.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.93 / $435.42 / $681.69