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Maryland rates for HCPCS E1250

Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.43 / $441.41 / $529.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.50 / $616.20 / $616.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $200.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.71 / $692.86 / $921.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.73 / $507.25 / $801.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.08 / $611.08 / $611.08