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Kentucky rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $147.91 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $204.17 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $245.47 / $245.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $218.78 / $371.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $295.12 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $331.13 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $245.47 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $123.03 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $239.88