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Connecticut 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
$805.75 / $1,066.83 / $1,090.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.01 / $743.01 / $855.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.80 / $840.94 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.78 / $625.21 / $833.72