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Virginia rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.08 / $43.08 / $43.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $43.08 / $61.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.62 / $71.62 / $71.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.44 / $58.44 / $58.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $67.14 / $67.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $60.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.82 / $48.02 / $63.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.47 / $61.74 / $86.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.14 / $41.88 / $91.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.98 / $79.98 / $79.98
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $40.21 / $82.27
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $31.57 / $79.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.82 / $42.28 / $63.01