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West Virginia rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Facilitymedian $550 · 10th–90th $59–$1,2880%10%10th90th$550Professionalmedian $537 · 10th–90th $457–$6170%20%10th90th$537$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $537.03 / $616.60
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $549.54 / $741.31
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $602.56 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $891.25 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $575.44 / $4,265.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $389.05 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $549.54 / $851.14