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California rates for HCPCS E1171

Amputee Wheelchair Fixed Full Length Arms Without Footrests Or Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.06 / $489.34 / $872.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.12 / $62.18 / $62.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.78 / $608.02 / $1,119.80
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.23 / $127.23 / $127.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $766.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.72 / $584.72 / $1,188.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $1,060.00 / $1,060.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.72 / $5,025.03 / $5,208.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.48 / $554.27 / $1,216.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.58 / $687.90 / $687.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.77 / $471.40 / $644.64