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Virginia rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,665.75 / $1,665.75 / $1,665.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.95 / $1,665.75 / $2,052.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.08 / $1,984.08 / $1,984.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,842.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $1,953.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $1,208.78 / $1,245.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.66 / $2,370.79 / $3,134.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $1,091.58 / $1,665.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.00 / $1,736.00 / $1,736.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.68 / $308.42 / $2,221.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.68 / $308.42 / $2,221.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.77 / $1,144.45 / $1,873.36