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Pennsylvania rates for HCPCS E0959

Manual wheelchair accessory, adapter for amputee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.84 / $38.90
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $43.65 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.30 / $60.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $38.02 / $54.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.84 / $38.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $44.67 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $20.89 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $28.84 / $54.95