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New York rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.61 / $815.87 / $1,351.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.06 / $1,033.06 / $1,291.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.89 / $116.89 / $1,519.57
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.89 / $116.89 / $1,519.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $606.51 / $799.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.22 / $950.86 / $1,010.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $606.51 / $799.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.20 / $757.00 / $1,163.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.86 / $950.86 / $950.86
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.86 / $950.86 / $1,010.29