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Washington 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
$530.28 / $624.04 / $983.52
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $5,600.27 / $5,600.27
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $690.65 / $1,194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.61 / $651.64 / $1,230.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $106.09 / $106.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,740.20 / $2,090.19 / $2,119.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.20 / $2,090.19 / $2,119.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.89 / $92.89 / $92.89
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.06 / $1,060.19 / $1,191.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.64 / $71.64 / $87.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.09 / $525.10 / $875.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.41 / $648.41 / $648.41