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Connecticut 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
$557.54 / $705.59 / $754.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.79 / $534.79 / $592.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.87 / $659.87 / $659.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.67 / $432.58 / $576.71