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Wheelchair with Fixed Arm, Elevating Legrests

New Hampshire rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Rates data updated July 2026.

Facilitymedian $200 · 10th–90th $30$4680%5%10%10th90th$200Professionalmedian $537 · 10th–90th $380$5620%50%10th90th$537$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$691.83
Typical High
$691.83
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$199.53
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$323.59
Typical High
$512.86