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Virginia rates for HCPCS E2217

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.06 / $38.06 / $38.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.51 / $38.06 / $40.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.45 / $47.45 / $47.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.07 / $39.07 / $39.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.77 / $36.77 / $36.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.91 / $31.91 / $31.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.12 / $31.91 / $41.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.85 / $38.89 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $33.85 / $58.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $38.65 / $38.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $5.85 / $47.45
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $5.85 / $47.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.79 / $27.13 / $41.15