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California 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
$203.33 / $290.07 / $504.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.27 / $36.86 / $36.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.28 / $360.42 / $663.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.59 / $78.59 / $78.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $454.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $377.00 / $652.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.00 / $589.00 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.06 / $2,978.91 / $3,087.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.39 / $331.86 / $714.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.23 / $279.33 / $382.41