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Virginia rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.81 / $1,873.65 / $1,873.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.81 / $1,873.65 / $2,412.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.20 / $1,505.20 / $1,505.20
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,389.60 / $2,389.60 / $2,412.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $1,950.00 / $1,950.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.78 / $3,371.64 / $4,418.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.50 / $1,285.81 / $1,977.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,555.00 / $2,555.00 / $2,555.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.35 / $1,313.50 / $3,311.24
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.35 / $1,313.50 / $3,311.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.52 / $1,419.35 / $2,327.67