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Virginia rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $19.23 / $19.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $19.23 / $25.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.78 / $26.78 / $26.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $19.52 / $21.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $28.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $28.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $27.06 / $34.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $17.34 / $31.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $15.35 / $29.61
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $12.97 / $28.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $15.88 / $24.61