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West Virginia rates for HCPCS E2628

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

Facilitymedian $407 · 10th–90th $56–$6030%10%10th90th$407Professionalmedian $550 · 10th–90th $479–$5750%20%10th90th$550$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $549.54 / $575.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $436.52 / $602.56
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $478.63 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $407.38 / $676.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $512.86 / $794.33