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Virginia rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.29 / $585.29 / $585.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.76 / $585.29 / $721.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.79 / $534.79 / $534.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $659.87 / $659.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.03 / $786.56 / $925.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.69 / $383.61 / $585.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.81 / $482.81 / $482.81
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.43 / $94.69 / $780.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $108.37 / $780.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.45 / $394.84 / $644.88