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Kansas rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.14 / $1,041.14 / $1,041.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.67 / $764.24 / $1,041.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.07 / $1,179.07 / $1,179.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $1,982.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.67 / $846.95 / $6,143.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.25 / $571.59 / $742.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.16 / $552.37 / $742.02