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Wheelchair with Fixed Arm, Elevating Legrests

Wisconsin rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $60$1,7380%10%10th90th$631Professionalmedian $631 · 10th–90th $251$1,0720%20%10th90th$631$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,737.80
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,318.26
Typical High
$1,862.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$446.68
Typical High
$891.25
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$630.96
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$467.74
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$446.68
Typical High
$891.25
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Quartz
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$181.97
Typical High
$208.93
Quartz
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,548.82
Typical High
$4,365.16
Quartz
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$239.88
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$812.83