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Arizona rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $363.08 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $26.92 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $407.38 / $645.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $371.54 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $154.88 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $281.84 / $363.08