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West Virginia rates for HCPCS E2628

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.44 / $544.26 / $582.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.64 / $450.05 / $709.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.06 / $465.53 / $646.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $1,067.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.39 / $369.39 / $4,473.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.93 / $493.88 / $801.99