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Virginia rates for HCPCS E2622

Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.69 / $227.69 / $227.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.79 / $227.69 / $290.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.53 / $378.53 / $378.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.85 / $293.85 / $293.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.73 / $251.73 / $257.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $263.45 / $325.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.93 / $223.93 / $297.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.19 / $321.75 / $427.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.69 / $275.63 / $399.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.68 / $299.68 / $299.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.81 / $196.82 / $362.47
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.81 / $157.93 / $347.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.15 / $192.10 / $302.63