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Virginia rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.26 / $119.26 / $119.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.46 / $119.26 / $171.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.27 / $198.27 / $198.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.21 / $152.21 / $152.21
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.02 / $214.02 / $221.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $214.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $169.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.78 / $165.33 / $218.60
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.48 / $125.57 / $376.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.97 / $327.97 / $327.97
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $111.31 / $337.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $100.12 / $320.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.64 / $143.71 / $227.33