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California rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.65 / $766.92 / $1,367.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.95 / $97.45 / $97.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.70 / $961.80 / $1,755.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.81 / $207.81 / $207.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.95 / $1,201.95 / $1,201.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.23 / $1,223.23 / $2,160.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $1,349.00 / $1,349.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.17 / $7,874.71 / $8,161.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.51 / $768.48 / $1,996.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $1,223.23 / $1,223.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.94 / $738.61 / $1,488.22