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Delaware 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
$703.62 / $832.57 / $842.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.59 / $714.80 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.67 / $588.08 / $704.18