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California rates for HCPCS E1250

Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.01 / $354.61 / $604.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.15 / $61.11 / $61.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.30 / $611.08 / $924.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $825.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $179.00 / $686.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,156.43 / $3,516.99 / $3,645.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $432.26 / $913.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.49 / $430.26 / $719.85