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Oregon 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
$494.31 / $494.31 / $494.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.77 / $331.86 / $494.31
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 / $346.64 / $407.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.35 / $1,461.13 / $1,584.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.34 / $246.16 / $708.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.89 / $52.38 / $66.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.65 / $1,111.82 / $1,127.60
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.65 / $1,111.82 / $1,127.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.90 / $181.71 / $708.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.48 / $63.19 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.87 / $279.33 / $465.56