go back

California 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
$419.23 / $598.02 / $1,040.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.58 / $75.98 / $75.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.56 / $743.01 / $1,369.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.04 / $162.04 / $162.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $936.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.80 / $714.80 / $1,586.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $1,196.00 / $1,196.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.98 / $6,143.69 / $6,367.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.90 / $677.56 / $1,522.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.67 / $840.94 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.40 / $575.99 / $1,160.55