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Alaska rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.20 / $1,245.20 / $1,245.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.87 / $659.87 / $659.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.16 / $503.03 / $772.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.98 / $112.98 / $112.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.90 / $988.90 / $2,395.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.16 / $503.03 / $772.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.87 / $659.87 / $659.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.45 / $853.77 / $1,559.06