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Connecticut rates for HCPCS E1295

Heavy Duty Wheelchair Fixed Full Length Arms Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.04 / $1,322.54 / $1,352.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.25 / $812.25 / $1,061.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.07 / $886.07 / $886.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.02 / $775.33 / $1,033.69