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Kentucky rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.41 / $614.41 / $908.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.41 / $853.22 / $908.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.69 / $985.04 / $1,033.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.25 / $203.46 / $1,897.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.31 / $203.46 / $2,322.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,560.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.53 / $606.51 / $1,160.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,007.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $697.80 / $1,040.00