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Arizona rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.57 / $1,243.13 / $1,243.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.24 / $60.24 / $75.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.57 / $1,566.09 / $2,603.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $2,371.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.57 / $931.73 / $7,340.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $688.37 / $901.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.71 / $688.37 / $901.90