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Mississippi 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
$754.85 / $980.85 / $1,083.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.72 / $146.72 / $146.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.62 / $108.62 / $108.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $115.61 / $1,140.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.92 / $573.65 / $917.65