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Virginia rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.86 / $34.86 / $34.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.46 / $34.86 / $44.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.95 / $57.95 / $57.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.66 / $44.66 / $44.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.64 / $39.64 / $39.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $49.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.52 / $49.26 / $65.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.27 / $31.72 / $60.66
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.91 / $52.91 / $52.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $32.54 / $57.95
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $24.13 / $52.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $29.30 / $46.30