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Kansas 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
$793.36 / $793.36 / $793.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.93 / $582.36 / $793.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.52 / $888.52 / $888.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.98 / $369.39 / $1,308.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.36 / $714.64 / $4,343.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $441.64 / $681.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.42 / $435.42 / $681.69