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Virginia rates for HCPCS E0372

Powered air overlay for mattress, standard mattress length and width

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.30 / $1,473.30 / $2,062.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.30 / $1,473.30 / $2,449.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,751.98 / $1,751.98 / $1,751.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.40 / $2,078.40 / $2,797.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.19 / $2,095.19 / $2,576.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $1,472.88 / $2,147.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.13 / $1,858.95 / $2,457.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.93 / $2,062.98 / $2,269.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,850.00 / $4,850.00 / $4,850.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.80 / $636.48 / $4,837.21
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.80 / $846.14 / $4,837.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.97 / $224.62 / $2,475.60