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Virginia rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $691.83 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $912.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,000.00 / $1,318.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,202.26
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $138.04 / $933.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $138.04 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $398.11 / $724.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $588.84 / $954.99