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Virginia rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,913.33 / $1,913.33 / $1,913.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.68 / $1,913.33 / $2,357.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.06 / $2,279.06 / $2,279.06
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.49 / $1,897.49 / $2,116.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $1,406.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.74 / $1,406.76 / $1,406.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,269.46 / $2,572.07 / $3,025.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $1,253.79 / $1,913.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,994.00 / $1,994.00 / $1,994.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.09 / $354.25 / $2,551.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.09 / $354.25 / $2,551.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.02 / $1,302.91 / $2,022.97