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Florida 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 / $486.21 / $650.38
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 / $604.79
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.19 / $801.99 / $1,043.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.05 / $550.74 / $688.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.93 / $461.89 / $641.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.69 / $681.69 / $681.69