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Kentucky 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
$509.50 / $509.50 / $753.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.50 / $677.56 / $866.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.56 / $655.04 / $743.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.28 / $179.67 / $1,559.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.37 / $192.01 / $1,559.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $1,294.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $714.80 / $5,411.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $83.63 / $836.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.30 / $503.42 / $766.91