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Wyoming rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.65 / $701.65 / $1,228.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.40 / $1,370.40 / $1,370.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,359.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.15 / $691.54 / $1,040.00