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Alaska rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.24 / $702.24 / $702.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $407.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.33 / $351.90 / $523.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $63.72 / $63.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.03 / $82.99 / $557.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.95 / $356.57 / $504.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.29 / $598.55 / $1,093.03