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New York 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
$222.74 / $390.82 / $639.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $360.42 / $589.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.31 / $55.31 / $719.03
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.31 / $55.31 / $719.03
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 / $407.81 / $407.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.08 / $387.68 / $411.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.07 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.80 / $332.96 / $500.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.68 / $387.68 / $387.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.68 / $387.68 / $411.92