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Rhode Island 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
$203.33 / $232.98 / $290.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $29.65 / $29.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $407.81 / $407.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.08 / $292.89 / $488.37