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West Virginia rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.52 / $585.29 / $593.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.32 / $72.30 / $483.68
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.34 / $63.26 / $520.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.77 / $894.77 / $894.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $3,741.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.02 / $385.55 / $644.88