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New York rates for HCPCS E1195

Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.33 / $1,033.27 / $1,690.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.80 / $961.80 / $1,558.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.22 / $146.22 / $1,900.99
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.22 / $146.22 / $1,900.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $1,728.75
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.04 / $1,025.14 / $1,089.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.57 / $130.25 / $1,728.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.24 / $861.71 / $1,169.47
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,025.14 / $1,025.14 / $1,025.14
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.14 / $1,025.14 / $1,089.22