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Virginia rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.72 / $85.72 / $85.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.63 / $85.72 / $116.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.51 / $142.51 / $142.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.82 / $113.82 / $113.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.47 / $89.47 / $90.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $93.52 / $122.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $93.52 / $122.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.53 / $112.80 / $157.91
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.88 / $75.53 / $160.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $103.00 / $103.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $16.62 / $123.88
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.14 / $16.62 / $123.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $73.84 / $114.70