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West Virginia rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.00 / $1,665.75 / $1,770.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.19 / $215.62 / $2,365.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.19 / $188.66 / $2,546.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,714.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $1,953.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.87 / $1,268.94 / $1,928.95