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Virginia rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.61 / $41.61 / $41.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $41.61 / $58.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.17 / $69.17 / $69.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.04 / $56.04 / $56.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.40 / $60.40 / $60.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $60.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $60.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.83 / $58.89 / $80.65
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.36 / $41.61 / $92.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $80.59 / $80.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $38.84 / $83.93
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $30.89 / $80.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $41.59 / $62.94