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West Virginia rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.28 / $857.55 / $921.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.21 / $112.26 / $1,078.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.21 / $98.23 / $1,161.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,560.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.05 / $606.51 / $6,524.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.00 / $804.93 / $1,165.27