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Virginia rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.60 / $273.60 / $273.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.13 / $273.60 / $380.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.56 / $378.56 / $378.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.70 / $370.70 / $370.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.45 / $382.45 / $382.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $357.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.86 / $332.93 / $332.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.79 / $365.75 / $437.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $234.15 / $418.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.44 / $472.44 / $472.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.01 / $255.36 / $518.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.18 / $196.30 / $472.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.87 / $255.45 / $389.78