go back

Virginia rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.31 / $31.31 / $31.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $31.31 / $44.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $52.05 / $52.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.86 / $41.86 / $41.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.93 / $42.93 / $42.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $43.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $45.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $42.86 / $56.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $28.26 / $65.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.28 / $57.28 / $57.28
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $29.22 / $62.52
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $22.84 / $57.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $22.82 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.58 / $30.26 / $47.01