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Arizona 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
$647.22 / $1,040.44 / $1,040.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.42 / $50.42 / $63.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.05 / $1,310.74 / $2,179.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $1,982.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.90 / $802.26 / $6,143.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.99 / $575.99 / $754.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.15 / $575.99 / $754.88