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Maryland 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
$416.73 / $514.91 / $692.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.50 / $633.50 / $706.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $687.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $584.72 / $687.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.71 / $989.95 / $1,316.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.37 / $516.19 / $806.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.02 / $682.02 / $881.71