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Alaska rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.58 / $1,184.58 / $1,184.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $651.64 / $651.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.98 / $653.45 / $994.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.48 / $107.48 / $118.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.83 / $911.30 / $2,278.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.02 / $661.50 / $983.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.64 / $651.64 / $651.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.05 / $1,125.21 / $2,054.71