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West Virginia rates for HCPCS E2201

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.48 / $230.23 / $271.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.62 / $248.79 / $338.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $254.13 / $364.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $524.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.42 / $300.83 / $345.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.48 / $344.48 / $344.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.15 / $229.66 / $380.18