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West Virginia rates for HCPCS E2203

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.22 / $312.56 / $362.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.58 / $326.27 / $435.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.38 / $337.77 / $468.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $674.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $440.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.80 / $398.80 / $398.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.15 / $311.79 / $503.00