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Iowa rates for HCPCS E1195

Heavy Duty Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.60 / $894.60 / $1,276.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.65 / $823.03 / $1,453.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.28 / $1,445.28 / $1,445.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,728.75 / $2,160.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.89 / $165.89 / $1,296.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.86 / $1,734.65 / $7,874.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.36 / $738.53 / $1,834.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.71 / $193.06 / $453.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $231.39 / $381.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.94 / $714.27 / $1,834.68