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Pennsylvania rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.64 / $97.68 / $122.10
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $141.91 / $168.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $153.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $253.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.10 / $149.10 / $162.06
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.23 / $145.07 / $145.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.18 / $99.63 / $206.22
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $153.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $253.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.08 / $177.40 / $183.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.28 / $108.16 / $222.68