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Virginia rates for HCPCS E2212

Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.40 / $5.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $5.93 / $5.93
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.84 / $6.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $6.05 / $8.47
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $4.00 / $8.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.84 / $6.35
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.84 / $6.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.98 / $5.29