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Iowa 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
Facility
Modifier
Low / Median / High Price
$619.61 / $619.61 / $884.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.38 / $619.61 / $931.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $1,001.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.22 / $1,196.25 / $1,495.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.51 / $98.51 / $897.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.96 / $1,053.33 / $5,455.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.06 / $499.70 / $1,271.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.85 / $123.74 / $269.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.38 / $148.30 / $264.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.27 / $511.68 / $1,328.39