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Connecticut 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
$576.66 / $686.53 / $787.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.69 / $681.69 / $681.69
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 / $369.39
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.36 / $594.21 / $841.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.35 / $514.35 / $514.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.86 / $490.02 / $646.73