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West Virginia rates for HCPCS E0304

Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,491.22 / $4,491.22 / $4,491.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,947.82 / $3,408.48 / $4,491.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.90 / $915.93 / $5,343.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.90 / $427.43 / $5,754.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $7,706.70 / $7,706.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.50 / $479.92 / $25,803.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,461.81 / $3,776.73 / $6,971.42