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West Virginia rates for HCPCS E1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.41 / $442.49 / $529.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.23 / $54.23 / $542.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $584.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $740.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $200.00 / $3,097.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.94 / $498.00 / $862.20