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Washington, DC 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
$590.91 / $590.91 / $590.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.09 / $839.09 / $935.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.90 / $869.90 / $869.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.47 / $703.28 / $703.28