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California rates for HCPCS E1222

Wheelchair With Fixed Arm Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.11 / $413.82 / $701.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.87 / $58.58 / $58.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.72 / $525.83 / $946.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.14 / $112.14 / $112.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.54 / $648.54 / $648.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.87 / $659.87 / $1,335.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $663.00 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.74 / $4,248.00 / $4,402.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.69 / $473.40 / $1,076.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $659.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.86 / $398.43 / $579.98