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Virginia rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $446.68 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $562.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $912.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $537.03 / $831.76
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $91.20 / $645.65
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $91.20 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $251.19 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $660.69