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West Virginia rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.83 / $295.95 / $339.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.98 / $39.61 / $366.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.98 / $42.67 / $394.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $541.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $238.50 / $642.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $170.10 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.05 / $243.41 / $415.34