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Virginia rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $741.31 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $1,202.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $489.78 / $758.58
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $144.54 / $1,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $309.03 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $851.14