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New York 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
$446.68 / $954.99 / $1,288.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,445.44
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $1,778.28
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $1,148.15 / $1,905.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $549.54 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $1,096.48
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $954.99
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $954.99 / $1,023.29