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Virginia rates for HCPCS E2215

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.23 / $9.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $7.49 / $8.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $10.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.10 / $14.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $6.64 / $13.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $10.08 / $10.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.29 / $10.37
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.29 / $10.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $6.53 / $9.60