go back

Arizona 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
$570.42 / $923.93 / $923.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.77 / $44.77 / $55.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.97 / $1,163.96 / $1,935.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $1,495.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.57 / $727.78 / $5,455.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $511.68 / $670.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.16 / $511.68 / $670.33