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West Virginia 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
$296.45 / $410.33 / $433.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.68 / $52.84 / $338.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $46.24 / $365.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $627.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $2,623.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.63 / $273.26 / $452.03