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Virginia 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
$410.33 / $410.33 / $410.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.57 / $410.33 / $453.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.42 / $360.42 / $360.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.91 / $406.91 / $453.81
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.69 / $551.58 / $648.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.39 / $268.83 / $410.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.48 / $338.48 / $338.48
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.77 / $66.39 / $547.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.77 / $75.97 / $547.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.08 / $276.82 / $409.72