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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
$652.98 / $719.10 / $764.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.64 / $93.10 / $698.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.64 / $81.45 / $752.70
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 / $840.94 / $5,411.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.03 / $580.69 / $932.28