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West Virginia rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.94 / $1,077.59 / $1,089.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.68 / $131.27 / $902.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.19 / $114.86 / $972.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,670.98 / $1,670.98 / $1,670.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,232.30 / $6,987.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.91 / $719.36 / $1,203.69