go back

Alaska rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.15 / $1,393.15 / $1,393.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.72 / $746.73 / $746.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.33 / $636.54 / $955.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.49 / $126.41 / $126.41
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.18 / $1,056.90 / $1,232.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.91 / $638.70 / $931.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.72 / $746.73 / $746.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.05 / $1,096.44 / $2,002.20