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Arkansas 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
$316.23 / $316.23 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.38 / $690.07 / $766.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.05 / $66.05 / $66.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $66.05 / $66.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.42 / $239.95 / $371.92