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Virginia rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.56 / $312.56 / $312.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.73 / $312.56 / $417.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.65 / $519.65 / $519.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.43 / $398.43 / $398.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.19 / $407.19 / $407.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $440.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.84 / $417.40 / $551.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.24 / $312.56 / $669.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.00 / $431.00 / $431.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.43 / $64.81 / $517.37
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.34 / $64.81 / $517.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.31 / $297.02 / $437.38