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Pennsylvania rates for HCPCS E0255

Hospital bed, variable height, hi-lo, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.72 / $485.86 / $485.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.63 / $462.85 / $615.67
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.48 / $672.08 / $724.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.40 / $559.40 / $1,174.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.19 / $577.92 / $1,082.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.86 / $485.86 / $485.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.63 / $462.85 / $560.92
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.40 / $559.40 / $1,174.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $577.92 / $1,082.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.10 / $840.10 / $948.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.10 / $849.00 / $948.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.88 / $473.80 / $947.60