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California rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $87.02 / $493.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $13.02 / $281.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $130.15 / $203.03
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $235.00 / $235.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.27 / $118.27 / $118.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $170.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $59.95 / $189.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.60 / $152.60 / $183.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.98 / $134.15 / $258.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $802.71 / $802.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $124.81 / $198.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $124.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $322.64 / $322.64
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $132.06 / $152.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.28 / $80.98 / $146.12