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Kansas rates for HCPCS E1084

Hemi-Wheelchair Detachable Arms Desk Or Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.32 / $1,226.32 / $1,226.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.26 / $900.17 / $1,226.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.66 / $1,263.66 / $1,263.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.59 / $359.59 / $359.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.09 / $359.59 / $1,687.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.26 / $900.17 / $6,150.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.80 / $572.46 / $743.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.80 / $553.21 / $921.96