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Oregon 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
Facility
Modifier
Low / Median / High Price
$833.83 / $833.83 / $833.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.79 / $559.79 / $833.83
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
$2,416.19 / $2,464.73 / $2,673.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.93 / $415.60 / $1,195.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.16 / $88.37 / $111.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.45 / $1,875.50 / $1,902.13
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.45 / $1,875.50 / $1,902.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.33 / $306.58 / $1,195.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.21 / $106.59 / $687.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.77 / $471.40 / $942.80