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Virginia rates for HCPCS E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.74 / $396.74 / $396.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.74 / $396.74 / $412.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.47 / $357.47 / $357.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.10 / $400.10 / $400.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.60 / $251.60 / $296.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.00 / $783.00 / $783.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.74 / $412.99 / $448.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $42.00 / $42.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $42.00