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Virginia rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $30.20 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $46.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $45.71 / $58.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $33.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $28.84 / $53.70
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $10.00 / $44.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $10.00 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $17.78 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $44.67