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Pennsylvania rates for HCPCS E0955

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

Facilitymedian $98 · 10th–90th $11–$1350%20%10th90th$98Professionalmedian $102 · 10th–90th $78–$1780%20%10th90th$102$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $177.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $147.91 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $204.17
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $104.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $144.54 / $144.54
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $97.72 / $123.03
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $173.78 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $79.43 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $102.33 / $199.53