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Alaska rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $691.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $416.87 / $851.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $724.44 / $1,148.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $107.15 / $1,071.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $218.78 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $616.60 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $691.83 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $281.84 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,000.00 / $1,862.09