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Virginia rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $42.66 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $50.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $44.67 / $61.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $38.02 / $67.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $35.48 / $46.77
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $35.48 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $20.42 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.90 / $48.98