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Iowa rates for HCPCS E1222

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.39 / $553.39 / $688.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.11 / $514.10 / $746.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.66 / $779.66 / $779.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $1,068.75 / $1,335.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.13 / $90.13 / $698.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.02 / $942.76 / $4,248.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.67 / $389.26 / $989.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.91 / $104.16 / $246.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.62 / $114.84 / $205.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.94 / $385.55 / $989.68