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Connecticut rates for HCPCS E1190

Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$962.96 / $1,274.75 / $1,303.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.98 / $887.98 / $1,022.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.20 / $1,140.20 / $1,140.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.83 / $734.12 / $996.39