go back

Kentucky rates for HCPCS E1223

Wheelchair With Detachable Arms Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.88 / $384.88 / $568.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.01 / $555.45 / $607.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.56 / $494.92 / $494.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.93 / $159.71 / $1,178.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.51 / $145.04 / $1,178.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $977.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $359.31 / $4,087.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.01 / $63.19 / $631.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.60 / $380.40 / $558.94