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West Virginia rates for HCPCS E1297

Special wheelchair seat depth, by upholstery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.27 / $81.59 / $90.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $74.53 / $99.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $73.54 / $98.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $164.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $102.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.35 / $68.81 / $93.36