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Virginia rates for HCPCS E2604

Skin protection wheelchair seat cushion, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.63 / $105.63 / $105.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $105.63 / $141.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.61 / $175.61 / $175.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.29 / $140.29 / $140.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.96 / $146.96 / $146.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $151.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $151.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.83 / $145.00 / $191.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.06 / $105.63 / $226.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.55 / $331.55 / $331.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.97 / $98.59 / $224.39
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $77.61 / $219.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.74 / $103.04 / $154.50