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Rhode Island rates for HCPCS E1172

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Without Footrests Or Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.23 / $480.37 / $598.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $61.14 / $61.14
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.36 / $603.94 / $1,007.02