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Kentucky rates for HCPCS E1190

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.17 / $716.17 / $1,058.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.87 / $809.59 / $1,058.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.28 / $782.85 / $887.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.68 / $229.40 / $2,192.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.57 / $269.89 / $2,192.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.08 / $1,546.08 / $1,546.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $6,465.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.88 / $117.61 / $1,176.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.09 / $601.64 / $884.15