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Kentucky rates for HCPCS E1200

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.49 / $512.49 / $757.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.49 / $638.70 / $769.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.76 / $581.86 / $660.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.79 / $165.33 / $1,568.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.20 / $193.13 / $1,568.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $1,149.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $634.72 / $4,805.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.28 / $84.14 / $841.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.63 / $447.20 / $657.14