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Virginia rates for HCPCS E0969

Narrowing Device Wheelchair (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.91 / $121.91 / $121.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.65 / $121.91 / $166.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.24 / $197.24 / $197.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.11 / $161.11 / $161.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.20 / $125.20 / $139.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.41 / $134.41 / $213.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.26 / $134.41 / $162.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.97 / $173.61 / $216.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.91 / $108.07 / $197.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $141.00 / $141.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $19.73 / $162.54
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $22.59 / $162.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.88 / $98.40 / $124.26