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Oregon 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
$1,071.52 / $1,071.52 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $707.95 / $831.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,951.21 / $3,311.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $107.15 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $851.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $2,344.23
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $2,344.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $512.86 / $1,288.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $707.95 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $676.08 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $575.44 / $954.99