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Iowa rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.37 / $338.37 / $483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.33 / $356.57 / $523.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $546.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $652.50 / $815.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.19 / $63.19 / $489.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.28 / $660.83 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $272.85 / $693.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $73.03 / $172.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.61 / $82.24 / $144.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.61 / $270.11 / $693.86