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Kansas 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
$517.00 / $517.00 / $517.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.71 / $370.60 / $517.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.50 / $632.50 / $632.50
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
$181.71 / $370.60 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.59 / $277.24 / $359.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.71 / $267.88 / $359.85