go back

Arkansas rates for HCPCS E1030

Wheelchair Accessory Ventilator Tray Gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.28 / $722.28 / $722.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.43 / $1,603.37 / $1,781.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.32 / $140.32 / $140.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.32 / $140.32 / $140.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $606.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $701.65 / $1,007.68