go back

Iowa 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
Facility
Modifier
Low / Median / High Price
$980.85 / $980.85 / $1,190.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.02 / $785.99 / $1,227.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.18 / $1,347.18 / $1,347.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,897.50 / $2,371.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $155.69 / $1,207.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.57 / $1,667.45 / $7,340.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.83 / $688.24 / $1,709.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.01 / $179.93 / $425.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.53 / $203.68 / $355.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.59 / $688.37 / $1,709.90