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Virginia rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.65 / $37.65 / $37.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.94 / $37.65 / $47.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.60 / $62.60 / $62.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.09 / $52.09 / $52.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.88 / $51.88 / $55.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $51.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $56.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.55 / $50.49 / $70.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $34.95 / $71.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $69.84 / $69.84
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $35.14 / $62.60
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $26.72 / $62.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.27 / $35.32 / $53.21