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Connecticut rates for HCPCS E1200

Amputee Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.65 / $823.30 / $947.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $660.00 / $760.30
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.06 / $555.32 / $740.63