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Rhode Island 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
$327.20 / $441.09 / $455.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.52 / $721.79 / $892.71
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.85 / $500.33 / $844.22