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West Virginia 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
$748.56 / $913.13 / $1,011.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.37 / $111.22 / $982.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.37 / $114.50 / $1,058.50
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 / $115.61 / $6,465.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.37 / $693.77 / $1,113.84