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Kentucky 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
$395.30 / $395.30 / $584.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.65 / $492.44 / $587.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.19 / $608.09 / $681.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.66 / $665.04 / $1,338.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $740.86 / $1,292.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $1,067.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $723.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.95 / $443.10 / $709.72