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West Virginia 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
$588.84 / $645.65 / $758.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $691.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $758.58
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 / $831.76 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $575.44 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $933.25