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Virginia rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.54 / $529.54 / $529.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.79 / $529.54 / $529.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.08 / $611.08 / $611.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.50 / $513.50 / $616.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $200.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.60 / $689.52 / $818.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $441.41 / $598.39
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $700.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.46 / $82.81 / $706.08
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $94.76 / $706.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.02 / $426.39 / $572.88