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Kentucky rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.77 / $73.77 / $109.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $92.00 / $109.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.87 / $123.69 / $130.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.73 / $125.55 / $261.45
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $140.85 / $237.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $197.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $130.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.61 / $86.62 / $130.90