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Delaware 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
$670.64 / $702.15 / $739.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $634.72 / $746.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.71 / $522.42 / $625.30