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Delaware 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
$341.23 / $355.73 / $435.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $346.64 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $285.20 / $341.43