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Virginia rates for HCPCS E1130

Standard wheelchair, fixed full-length arms, fixed or swing-away detachable footrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.80 / $343.80 / $343.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.90 / $318.58 / $343.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.80 / $416.80 / $416.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.50 / $315.50 / $378.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.68 / $354.68 / $354.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.04 / $447.65 / $591.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.43 / $286.57 / $388.49
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.00 / $375.00 / $375.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $53.60 / $458.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $61.52 / $458.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.56 / $276.82 / $461.37