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Virginia rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.05 / $337.05 / $337.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.35 / $337.05 / $428.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.61 / $430.61 / $430.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.72 / $377.72 / $380.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $393.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.46 / $279.36 / $382.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.86 / $601.03 / $667.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.78 / $337.05 / $560.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.00 / $510.00 / $510.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.42 / $233.15 / $560.40
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.42 / $64.05 / $510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.71 / $282.83 / $460.80