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Virginia rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.00 / $1,011.00 / $1,011.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.22 / $1,011.00 / $1,245.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.98 / $887.98 / $887.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.92 / $899.92 / $1,003.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $1,140.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.22 / $1,359.12 / $1,598.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.57 / $662.53 / $1,011.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $800.00 / $800.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.84 / $163.57 / $1,348.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.84 / $187.18 / $1,348.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.67 / $682.18 / $1,035.84