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Alaska rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $977.24 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $426.58 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $436.52 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $660.69 / $977.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $912.01
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $114.82 / $912.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $549.54 / $851.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $426.58 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $263.03 / $691.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $933.25 / $1,698.24