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Virginia rates for HCPCS E2623

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.92 / $287.92 / $287.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.96 / $287.92 / $367.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.68 / $478.68 / $478.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.92 / $373.92 / $373.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.32 / $320.32 / $325.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $335.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $411.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.31 / $406.88 / $542.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.92 / $348.56 / $507.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.33 / $381.33 / $381.33
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.71 / $250.45 / $418.56
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.71 / $200.04 / $417.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.64 / $243.71 / $385.09