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Virginia rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $407.38 / $407.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $562.34 / $660.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $269.15 / $407.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $79.43 / $549.54
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $79.43 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $165.96 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $275.42 / $457.09