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Alaska rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $407.38 / $407.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $269.15 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $426.58 / $707.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $66.07 / $660.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $134.90 / $660.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $354.81 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $407.38 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $165.96 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $602.56 / $1,096.48