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Virginia rates for HCPCS E1087

High Strength Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.75 / $1,089.75 / $1,089.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.31 / $1,089.75 / $1,346.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.26 / $846.26 / $846.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.59 / $1,083.59 / $1,208.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.95 / $1,232.30 / $1,232.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.08 / $1,555.31 / $1,850.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.79 / $715.86 / $1,089.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.00 / $1,001.00 / $1,001.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.24 / $176.31 / $1,453.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.24 / $201.77 / $1,453.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.41 / $732.58 / $1,036.88