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Arizona rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.65 / $701.33 / $701.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.97 / $33.97 / $42.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.65 / $883.53 / $1,468.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $1,335.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $542.76 / $4,248.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.62 / $398.43 / $522.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.86 / $398.43 / $522.16