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Washington 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
$288.77 / $331.95 / $523.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,978.91 / $2,978.91
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $360.42 / $635.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $346.64 / $407.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.76 / $57.76 / $60.00
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
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.58 / $50.58 / $50.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.95 / $47.95 / $547.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $47.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.42 / $279.33 / $465.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.86 / $344.86 / $344.86