go back

Wyoming 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
$659.35 / $659.35 / $1,018.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.40 / $1,136.40 / $1,136.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $1,127.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.15 / $498.91 / $711.59