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Washington rates for HCPCS E1020

Residual limb support system for wheelchair, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $114.82 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $125.89
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $204.17 / $245.47
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $323.59 / $389.05
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $389.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.95 / $199.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $24.55 / $199.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $66.07 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $169.82