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Maryland 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
$584.99 / $714.64 / $1,074.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.92 / $899.92 / $1,003.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $1,140.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.58 / $1,446.04 / $1,923.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.22 / $753.77 / $1,177.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.98 / $979.75 / $1,181.76