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Maryland 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
$434.75 / $570.42 / $751.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.65 / $678.65 / $756.84
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 / $634.72 / $746.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.58 / $1,074.68 / $1,429.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.85 / $560.29 / $844.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $737.77 / $1,033.34