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Pennsylvania rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $267.83 / $328.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.20 / $484.10 / $484.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $355.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $768.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.26 / $379.26 / $379.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $267.83 / $328.96
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.50 / $238.50 / $355.14
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $768.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.40 / $486.50 / $502.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.91 / $167.62 / $269.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.68 / $198.56 / $376.46