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Arizona rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.65 / $1,029.65 / $1,029.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.90 / $57.90 / $72.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.22 / $1,505.50 / $2,502.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.75 / $795.00 / $1,571.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.74 / $814.95 / $7,110.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.07 / $668.58 / $807.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $668.58 / $807.40