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Washington, DC 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
$706.22 / $706.22 / $706.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.92 / $899.92 / $1,003.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.32 / $1,039.32 / $1,039.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.51 / $840.50 / $840.50