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Iowa rates for HCPCS E1171

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $549.54 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $1,202.26 / $1,479.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,000.00 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $2,187.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $288.40 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $1,174.90