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Virginia rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.42 / $98.42 / $98.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.53 / $98.42 / $132.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.63 / $163.63 / $163.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.15 / $130.15 / $130.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $70.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $147.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.01 / $143.94 / $201.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.97 / $118.87 / $199.17
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $131.19 / $131.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.15 / $19.52 / $163.63
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $19.52 / $163.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $93.70 / $141.40