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Florida 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
$522.40 / $748.56 / $980.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.39 / $1,140.20 / $1,140.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.25 / $627.29 / $896.14
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.01 / $1,005.98 / $1,294.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $93.48 / $849.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.10 / $651.20 / $901.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.92 / $849.92 / $849.92