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Virginia rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.89 / $87.89 / $87.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.87 / $87.89 / $125.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.13 / $146.13 / $146.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $122.33 / $122.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.69 / $136.69 / $136.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $120.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $100.30 / $131.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.70 / $125.46 / $175.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $84.63 / $182.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.47 / $159.47 / $159.47
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.96 / $82.03 / $164.03
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.96 / $63.97 / $159.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.56 / $86.33 / $131.65