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Virginia rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.75 / $49.75 / $49.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $49.75 / $68.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.55 / $67.55 / $67.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.51 / $49.51 / $53.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $74.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $74.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.95 / $66.81 / $93.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.30 / $44.13 / $84.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $8.27 / $66.84
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $9.38 / $66.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $41.41 / $64.51