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Colorado 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
$401.00 / $478.26 / $545.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.69 / $739.55 / $739.55
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 / $369.39 / $1,046.63
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.58 / $640.58 / $1,193.84
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.58 / $640.58 / $640.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.56 / $956.52 / $1,386.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.01 / $435.42 / $681.69