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West Virginia rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.80 / $492.30 / $567.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.20 / $67.03 / $578.62
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.20 / $72.18 / $623.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $1,038.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $590.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.55 / $436.85 / $856.56