go back

Pennsylvania rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.16 / $497.52 / $563.84
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.69 / $946.90 / $946.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.77 / $894.77 / $894.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.28 / $659.87 / $1,335.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.16 / $497.52 / $563.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.77 / $894.77 / $894.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $1,335.94
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.30 / $901.30 / $901.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.43 / $404.44 / $664.05