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Virginia rates for HCPCS E1016

Shock absorber for power wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.20 / $78.20 / $78.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.69 / $78.20 / $111.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.01 / $130.01 / $130.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.57 / $107.57 / $107.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.42 / $102.42 / $102.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $104.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.94 / $88.16 / $115.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.37 / $106.95 / $149.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.22 / $72.45 / $158.15
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $72.98 / $142.18
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $56.44 / $137.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.02 / $75.23 / $118.18