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Virginia rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.38 / $339.38 / $339.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.38 / $408.09 / $626.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.43 / $408.43 / $408.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.50 / $478.50 / $523.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.75 / $654.75 / $766.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.75 / $654.75 / $766.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.43 / $486.51 / $643.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.43 / $511.16 / $654.99
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,120.00 / $1,120.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.46 / $145.41 / $1,192.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $153.74 / $1,192.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.49 / $439.90 / $679.34