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Virginia rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.55 / $857.55 / $857.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.13 / $857.55 / $1,068.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.06 / $1,033.06 / $1,033.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.48 / $990.48 / $990.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $606.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.23 / $606.51 / $606.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.21 / $1,371.57 / $1,613.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $747.17 / $1,403.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.00 / $1,049.00 / $1,049.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.47 / $584.40 / $1,261.66
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.47 / $584.40 / $1,223.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.29 / $698.58 / $955.52