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Maryland rates for HCPCS E2633

Wheelchair Accessory Addition To Mobile Arm Support Supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $90.24 / $115.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.96 / $120.96 / $120.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $59.95 / $70.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.55 / $152.41 / $182.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.58 / $94.47 / $149.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.53 / $119.53 / $137.87