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Virginia rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.30 / $771.30 / $771.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.72 / $771.30 / $950.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.51 / $677.51 / $677.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.96 / $764.96 / $853.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $766.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $651.64 / $766.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.96 / $1,097.95 / $1,323.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.81 / $505.50 / $771.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.00 / $602.00 / $602.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.27 / $124.81 / $1,028.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.27 / $142.82 / $1,028.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.73 / $517.03 / $790.28