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Connecticut 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
$390.82 / $449.70 / $517.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $360.42 / $415.19
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $303.36 / $442.91