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Arkansas rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.69 / $716.69 / $716.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.82 / $1,564.17 / $1,737.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.37 / $116.37 / $136.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $116.37 / $116.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.49 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.30 / $493.05 / $782.45