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Florida 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
$437.10 / $652.98 / $825.28
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
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.75 / $525.57 / $750.82
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.10 / $841.72 / $1,083.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.77 / $78.22 / $711.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.03 / $544.88 / $754.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.08 / $711.08 / $711.08