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Arizona 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
$366.50 / $504.56 / $504.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.45 / $24.45 / $30.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.74 / $635.65 / $1,056.76
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 / $815.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $370.58 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $279.33 / $366.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.22 / $279.33 / $366.02