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Iowa rates for HCPCS E2628

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Reclining

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.49 / $557.49 / $644.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.20 / $517.05 / $734.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $1,127.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.39 / $913.63 / $1,308.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.22 / $88.67 / $90.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.79 / $1,065.75 / $4,343.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.85 / $498.73 / $1,262.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $112.79 / $266.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.25 / $121.89 / $266.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.42 / $491.13 / $1,262.95
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.07 / $922.87 / $922.87